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Difference between revisions of "Spermatic cord"
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The '''spermatic cord''' is occasionally seen by pathologists. | The '''spermatic cord''' is occasionally seen by pathologists. | ||
=Overview= | |||
Contains: | |||
*[[Vas deferens]]. | |||
*Testicular artery. | |||
*Testicular vein. | |||
May contain: | |||
*Müllerian-like remnants - ciliated columnar epithelium with basal nuclei and eosinophilic cytoplasm.<ref name=pmid6741877>{{Cite journal | last1 = Walker | first1 = AN. | last2 = Mills | first2 = SE. | title = Glandular inclusions in inguinal hernial sacs and spermatic cords. Müllerian-like remnants confused with functional reproductive structures. | journal = Am J Clin Pathol | volume = 82 | issue = 1 | pages = 85-9 | month = Jul | year = 1984 | doi = | PMID = 6741877 }}</ref> | |||
=Specific entities= | |||
==Sperm granuloma== | ==Sperm granuloma== | ||
===General=== | ===General=== | ||
*Extravasated sperm. | *Extravasated sperm. | ||
*Common post-vasectomy.<ref name=pmid10414634>{{Cite journal | last1 = Clenney | first1 = TL. | last2 = Higgins | first2 = JC. | title = Vasectomy techniques. | journal = Am Fam Physician | volume = 60 | issue = 1 | pages = 137-46, 151-2 | month = Jul | year = 1999 | doi = | PMID = 10414634 }}</ref><ref name=pmid2205035>{{Cite journal | last1 = Gade | first1 = J. | last2 = Brasso | first2 = K. | title = [Sperm granulomata]. | journal = Ugeskr Laeger | volume = 152 | issue = 32 | pages = 2282-4 | month = Aug | year = 1990 | doi = | PMID = 2205035 }}</ref> | *Common post-[[vasectomy]].<ref name=pmid10414634>{{Cite journal | last1 = Clenney | first1 = TL. | last2 = Higgins | first2 = JC. | title = Vasectomy techniques. | journal = Am Fam Physician | volume = 60 | issue = 1 | pages = 137-46, 151-2 | month = Jul | year = 1999 | doi = | PMID = 10414634 }}</ref><ref name=pmid2205035>{{Cite journal | last1 = Gade | first1 = J. | last2 = Brasso | first2 = K. | title = [Sperm granulomata]. | journal = Ugeskr Laeger | volume = 152 | issue = 32 | pages = 2282-4 | month = Aug | year = 1990 | doi = | PMID = 2205035 }}</ref> | ||
*May present as a mass. | *May present as a mass. | ||
*Can be seen in the context of [[vasitis nodosa]]. | |||
===Microscopic=== | ===Microscopic=== | ||
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*Sperm - small darking staining ovoid bodies. | *Sperm - small darking staining ovoid bodies. | ||
**The tail is generally no seen in light microscopy. | **The tail is generally no seen in light microscopy. | ||
* | *Histocytes +/-intracytoplasmic sperm.<ref name=pmid2916356>{{Cite journal | last1 = Pérez-Guillermo | first1 = M. | last2 = Thor | first2 = A. | last3 = Löwhagen | first3 = T. | title = Spermatic granuloma. Diagnosis by fine needle aspiration cytology. | journal = Acta Cytol | volume = 33 | issue = 1 | pages = 1-5 | month = | year = | doi = | PMID = 2916356 }}</ref> | ||
*+/-Multi-nucleated giant cells. | |||
Images: | Images: | ||
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*[http://www.webpathology.com/image.asp?n=7&Case=40 Sperm granuloma - high mag. (webpathology.com)]. | *[http://www.webpathology.com/image.asp?n=7&Case=40 Sperm granuloma - high mag. (webpathology.com)]. | ||
==See also | ==Spermatic cord lipoma== | ||
{{Main|Lipoma}} | |||
*Like lipomas elsewhere. | |||
==Spermatic cord varicocele== | |||
===General=== | |||
*Left > right.<ref name=pmid21548422/> | |||
*Large varicoceles associated with infertility.<ref name=pmid21548422>{{Cite journal | last1 = Dobanovacki | first1 = D. | title = Varicocele in adolescents. | journal = Med Pregl | volume = 63 | issue = 11-12 | pages = 741-6 | month = | year = | doi = | PMID = 21548422 }}</ref> | |||
**Thought to be due to increased testicular temperature. | |||
Clinical:<ref name=pmid21548422/> | |||
*Pain. | |||
*Mass. | |||
*Ipsilateral testicular atrophy. | |||
===Microscopic=== | |||
Features: | |||
*Dilated vein. | |||
=See also= | |||
*[[Testis]]. | *[[Testis]]. | ||
*[[Genitourinary pathology]]. | *[[Genitourinary pathology]]. | ||
*[[Vas deferens]]. | |||
*[[Epididymis]]. | |||
=References= | |||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Genitourinary pathology]] | [[Category:Genitourinary pathology]] | ||