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Sajadi KP et al. - The behavior and prognosis of SCSTs is difficult to predict. As many as 80–90% of these lesions behave in a benign fashion, but they cannot be differentiated from germ cell tumors and their behavior cannot be predicted clinically or sonographically. Features associated with a malignant clinical behavior include large size, invasive margins, vascular invasion, mitotic activity, and necrosis. None of these features were present in the patient, and this undifferentiated spindled SCST is expected to behave in a benign manner.

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