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Endodermal sinus (perivascular) pattern: This pattern displays papillary structures called Schiller-Duval body. It consists of a fibrovascular core with a single central thin-walled vessel in a hyalinized stroma surrounded by a one or more layers of cuboidal or columnar tumor cells with clear cytoplasm. The papillary structure is contained within a cystic space lined by flattened cells. Schiller-Duval body is a hallmark of yolk sac tumor but is not required for diagnosis and may not be seen in every case.

Image 109 of 185