Serum AFP is almost always increased in pure Yolk Sac Tumor (YST) or containing YST-mixed GCT patients.8 Therefore, though the initial IHC report was suggestive of synovial sarcoma, considering histopathology and elevated AFP, a repeat IHC was sent which was consistent with non-seminomatous germ cell tumour. This evidence concerns the gene AFP and granular cell tumor.