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Pure yolk sac tumors are usually soft, solid tumors with a myxoid or gelatinous quality. The cut surface is yellow-tan to greyish-white. Larger tumors may have foci of hemorrhage and necrosis or small cystic areas. In such cases, the possibility of a mixed germ cell tumor should be considered, especially in an adolescent or a young adult patient.

Image courtesy of Dr. Jean-Christophe Fournet, Paris, France; humpath.com

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