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Difference between revisions of "Spermatocele"
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'''Spermatocele''' is a benign pathology typically arising from the [[epididymis]]. | |||
==General== | |||
*Benign. | |||
*Cyst of the epididymis (classic). | |||
**May arise in the rete testis or [[vas deferens]].<ref>URL: [http://emedicine.medscape.com/article/443432-overview http://emedicine.medscape.com/article/443432-overview]. Accessed on: 5 March 2012.</ref> | |||
Clinical: | |||
*Often asymptomatic. | |||
*Excised due to pain or mass effect.<ref name=pmid18357964>{{Cite journal | last1 = Walsh | first1 = TJ. | last2 = Seeger | first2 = KT. | last3 = Turek | first3 = PJ. | title = Spermatoceles in adults: when does size matter? | journal = Arch Androl | volume = 53 | issue = 6 | pages = 345-8 | month = | year = | doi = | PMID = 18357964 }}</ref> | |||
==Microscopic== | |||
Features: | |||
*Cyst lined by a simple ciliated epithelium. | |||
*Contain sperm. | |||
**Head: ~1/2 the size of a [[RBC]], black. | |||
**Tail: infrequently seen. | |||
Note: | |||
*Small cellular clusters may be present. | |||
**May mimic [[small cell carcinoma]].<ref name=pmid19740515>{{Cite journal | last1 = Lane | first1 = Z. | last2 = Epstein | first2 = JI. | title = Small blue cells mimicking small cell carcinoma in spermatocele and hydrocele specimens: a report of 5 cases. | journal = Hum Pathol | volume = 41 | issue = 1 | pages = 88-93 | month = Jan | year = 2010 | doi = 10.1016/j.humpath.2009.06.018 | PMID = 19740515 }}</ref> | |||
DDx: | |||
*[[Hydrocele testis]] - do not contain sperm. | |||
===Images=== | |||
<gallery> | |||
Image:Spermatocele_-_intermed_mag.jpg | Spermatocele - intermed. mag. (WC) | |||
Image:Spermatocele_-_high_mag.jpg | Spermatocele - high mag. (WC) | |||
Image:Spermatocele_-_very_high_mag.jpg | Spermatocele - very high mag. (WC) | |||
</gallery> | |||
www: | |||
*[http://www.webpathology.com/image.asp?n=4&Case=40 Spermatocele - low mag. (webpathology.com)]. | |||
*[http://www.webpathology.com/image.asp?n=5&Case=40 Spermatocele - high mag. (webpathology.com)]. | |||
==See also== | |||
*[[Testis]]. | |||
*[[Spermatic cord]]. | |||
*[[Rete testis]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Testis]] | |||