Difference between revisions of "Adenomatous hyperplasia of the rete testis"

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'''Adenomatous hyperplasia of the rete testis''', also '''rete testis adenomatous hyperplasia''', is a rare benign lesion of the [[rete testis]] that may be confused with [[malignancy]].<ref name=pmid24311150>{{Cite journal  | last1 = Martino | first1 = G. | last2 = Pasta | first2 = V. | last3 = Ciardi | first3 = A. | last4 = Palmieri | first4 = A. | last5 = Marinaccio | first5 = L. | last6 = Malavenda | first6 = MS. | last7 = Monti | first7 = M. | title = Rete testis adenomatous hyperplasia: our experience. | journal = Ann Ital Chir | volume = 84 | issue = ePub | pages =  | month = Dec | year = 2013 | doi =  | PMID = 24311150 }}</ref><ref name=pmid24596538>{{Cite journal  | last1 = Ozgur | first1 = T. | last2 = Akin | first2 = MM. | last3 = Gokce | first3 = H. | last4 = Davarci | first4 = M. | title = Adenomatous hyperplasia of the rete testis: Not a true hyperplasia, just proliferation! | journal = Contemp Oncol (Pozn) | volume = 17 | issue = 5 | pages = 466-7 | month =  | year = 2013 | doi = 10.5114/wo.2013.37227 | PMID = 24596538 }}</ref>
{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Adenomatous hyperplasia of the rete testis -- low mag.jpg
| Width      =
| Caption    = Adenomatous hyperplasia of the rete testis. [[H&E stain]].
| Synonyms  =
| Micro      = epithelium with tubulopapillary or cribriform architecture separated by small amount of stroma
| Subtypes  =
| LMDDx      = [[adenocarcinoma of the rete testis]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      = +/-testicular mass
| Grossing  =
| Site      = [[rete testis]]
| Assdx      =
| Syndromes  =
| Clinicalhx = typically an incidental finding
| Signs      =
| Symptoms  =
| Prevalence = uncommon
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  = benign
| Other      =
| ClinDDx    =
| Tx        = inconsequential
}}
'''Adenomatous hyperplasia of the rete testis''' (abbreviated '''AHRT'''), also '''rete testis adenomatous hyperplasia''', is a rare benign lesion of the [[rete testis]] that may be confused with [[malignancy]].<ref name=pmid24311150>{{Cite journal  | last1 = Martino | first1 = G. | last2 = Pasta | first2 = V. | last3 = Ciardi | first3 = A. | last4 = Palmieri | first4 = A. | last5 = Marinaccio | first5 = L. | last6 = Malavenda | first6 = MS. | last7 = Monti | first7 = M. | title = Rete testis adenomatous hyperplasia: our experience. | journal = Ann Ital Chir | volume = 84 | issue = ePub | pages =  | month = Dec | year = 2013 | doi =  | PMID = 24311150 }}</ref><ref name=pmid24596538>{{Cite journal  | last1 = Ozgur | first1 = T. | last2 = Akin | first2 = MM. | last3 = Gokce | first3 = H. | last4 = Davarci | first4 = M. | title = Adenomatous hyperplasia of the rete testis: Not a true hyperplasia, just proliferation! | journal = Contemp Oncol (Pozn) | volume = 17 | issue = 5 | pages = 466-7 | month =  | year = 2013 | doi = 10.5114/wo.2013.37227 | PMID = 24596538 }}</ref>
 
==General==
*Uncommon.
*Often an incidental finding in an [[orchiectomy]] done for other reasons.<ref name=pmid12792886>{{Cite journal  | last1 = Nistal | first1 = M. | last2 = Castillo | first2 = MC. | last3 = Regadera | first3 = J. | last4 = García-Cabezas | first4 = MA. | title = Adenomatous hyperplasia of the rete testis. A review and report of new cases. | journal = Histol Histopathol | volume = 18 | issue = 3 | pages = 741-52 | month = Jul | year = 2003 | doi =  | PMID = 12792886 }}</ref>
*Possibly related to [[testicular atrophy]].<ref name=pmid12549646>{{Cite journal  | last1 = Uguz | first1 = A. | last2 = Gönlüşen | first2 = G. | last3 = Ergin | first3 = M. | last4 = Tunali | first4 = N. | title = Adenomatous hyperplasia of the rete testis: report of two cases. | journal = Int Urol Nephrol | volume = 34 | issue = 1 | pages = 87-9 | month =  | year = 2002 | doi =  | PMID = 12549646 }}</ref><ref>{{Cite journal  | last1 = Butterworth | first1 = DM. | last2 = Bisset | first2 = DL. | title = Cribriform intra-tubular epididymal change and adenomatous hyperplasia of the rete testis--a consequence of testicular atrophy? | journal = Histopathology | volume = 21 | issue = 5 | pages = 435-8 | month = Nov | year = 1992 | doi =  | PMID = 1452126 }}</ref>
 
==Gross==
*+/-Testicular mass.


==Microscopic==
==Microscopic==
Features:
Features:<ref name=pmid24596538/>
*Proliferation of rete testis.
*Epithelium with tubulopapillary or cribriform architecture separated by small amount of stroma.
 
DDx:
*[[Adenocarcinoma of the rete testis]].


Images:
===Images===
<gallery>
Image: Adenomatous hyperplasia of the rete testis -- very low mag.jpg | AHRT - very low mag.
Image: Adenomatous hyperplasia of the rete testis -- low mag.jpg | AHRT - low mag.
Image: Adenomatous hyperplasia of the rete testis - alt -- low mag.jpg | AHRT - low mag.
Image: Adenomatous hyperplasia of the rete testis -- intermed mag.jpg | AHRT - intermed. mag.
Image: Adenomatous hyperplasia of the rete testis -- high mag.jpg | AHRT - high mag.
</gallery>
www:
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934021/figure/F0001/ AHRT (nih.gov)].<ref name=pmid24596538/>
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934021/figure/F0001/ AHRT (nih.gov)].<ref name=pmid24596538/>



Latest revision as of 02:31, 31 October 2015

Adenomatous hyperplasia of the rete testis
Diagnosis in short

Adenomatous hyperplasia of the rete testis. H&E stain.

LM epithelium with tubulopapillary or cribriform architecture separated by small amount of stroma
LM DDx adenocarcinoma of the rete testis
Gross +/-testicular mass
Site rete testis

Clinical history typically an incidental finding
Prevalence uncommon
Prognosis benign
Treatment inconsequential

Adenomatous hyperplasia of the rete testis (abbreviated AHRT), also rete testis adenomatous hyperplasia, is a rare benign lesion of the rete testis that may be confused with malignancy.[1][2]

General

Gross

  • +/-Testicular mass.

Microscopic

Features:[2]

  • Epithelium with tubulopapillary or cribriform architecture separated by small amount of stroma.

DDx:

Images

www:

See also

References

  1. Martino, G.; Pasta, V.; Ciardi, A.; Palmieri, A.; Marinaccio, L.; Malavenda, MS.; Monti, M. (Dec 2013). "Rete testis adenomatous hyperplasia: our experience.". Ann Ital Chir 84 (ePub). PMID 24311150.
  2. 2.0 2.1 2.2 Ozgur, T.; Akin, MM.; Gokce, H.; Davarci, M. (2013). "Adenomatous hyperplasia of the rete testis: Not a true hyperplasia, just proliferation!". Contemp Oncol (Pozn) 17 (5): 466-7. doi:10.5114/wo.2013.37227. PMID 24596538.
  3. Nistal, M.; Castillo, MC.; Regadera, J.; García-Cabezas, MA. (Jul 2003). "Adenomatous hyperplasia of the rete testis. A review and report of new cases.". Histol Histopathol 18 (3): 741-52. PMID 12792886.
  4. Uguz, A.; Gönlüşen, G.; Ergin, M.; Tunali, N. (2002). "Adenomatous hyperplasia of the rete testis: report of two cases.". Int Urol Nephrol 34 (1): 87-9. PMID 12549646.
  5. Butterworth, DM.; Bisset, DL. (Nov 1992). "Cribriform intra-tubular epididymal change and adenomatous hyperplasia of the rete testis--a consequence of testicular atrophy?". Histopathology 21 (5): 435-8. PMID 1452126.