“…In an autopsy study, about 10% of patients who died of metastatic testicular germ cell tumors had such 'burnt-out' primary tumors. 130 Features that are helpful in establishing a diagnosis of a regressed testicular germ cell tumor include, apart from the scar formation, intratubular calcifications, IGCNU, a lymphoplasmacytic infiltrate, hemosiderin-containing macrophages, and testicular atrophy ( Figure 22). [130][131][132] In many cases, the scarred focus still has residual, hyalinized tubular outlines, which therefore should not be misconstrued as evidence for a non-neoplastic scarring process.…”