Difference between revisions of "Hydrocele testis"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = | |||
| Width = | |||
| Caption = | |||
| Synonyms = | |||
| Micro = cyst lined by simple epithelium, lack of spermatocytes | |||
| Subtypes = | |||
| LMDDx = [[spermatocele]] | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Staging = | |||
| Site = [[testis]] | |||
| Assdx = | |||
| Syndromes = | |||
| Clinicalhx = | |||
| Signs = | |||
| Symptoms = | |||
| Prevalence = | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = [[spermatocele]], [[testis|testicular tumour]] | |||
| Tx = excision | |||
}} | |||
'''Hydrocele testis''' is a benign pathology of the [[testis]]. | '''Hydrocele testis''' is a benign pathology of the [[testis]]. | ||
''Hydrocele sac'' redirects to this article. | |||
==General== | ==General== | ||
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**May be seen in association with a testicular neoplasm.<ref name=pmid9490992>{{Cite journal | last1 = Junnila | first1 = J. | last2 = Lassen | first2 = P. | title = Testicular masses. | journal = Am Fam Physician | volume = 57 | issue = 4 | pages = 685-92 | month = Feb | year = 1998 | doi = | PMID = 9490992 }}</ref> | **May be seen in association with a testicular neoplasm.<ref name=pmid9490992>{{Cite journal | last1 = Junnila | first1 = J. | last2 = Lassen | first2 = P. | title = Testicular masses. | journal = Am Fam Physician | volume = 57 | issue = 4 | pages = 685-92 | month = Feb | year = 1998 | doi = | PMID = 9490992 }}</ref> | ||
*Common.<ref name=pmid20705202>{{Cite journal | last1 = Wampler | first1 = SM. | last2 = Llanes | first2 = M. | title = Common scrotal and testicular problems. | journal = Prim Care | volume = 37 | issue = 3 | pages = 613-26, x | month = Sep | year = 2010 | doi = 10.1016/j.pop.2010.04.009 | PMID = 20705202 }}</ref> | *Common.<ref name=pmid20705202>{{Cite journal | last1 = Wampler | first1 = SM. | last2 = Llanes | first2 = M. | title = Common scrotal and testicular problems. | journal = Prim Care | volume = 37 | issue = 3 | pages = 613-26, x | month = Sep | year = 2010 | doi = 10.1016/j.pop.2010.04.009 | PMID = 20705202 }}</ref> | ||
*May be a "no yield" specimen - in series of 264 cases no malignancy was seen.<ref name=pmid24768992>{{cite journal |authors=Shah VS, Nepple KG, Lee DK |title=Routine pathology evaluation of hydrocele and spermatocele specimens is associated with significant costs and no identifiable benefit |journal=J Urol |volume=192 |issue=4 |pages=1179–82 |date=October 2014 |pmid=24768992 |doi=10.1016/j.juro.2014.04.085 |url=}}</ref> | |||
Clinical: | Clinical: | ||
*Scrotal mass. | *Scrotal mass. | ||
==Microscopic== | ==Microscopic== | ||
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</pre> | </pre> | ||
<pre> | |||
Submitted as "Left Hydrocele Sac", Excision: | |||
- Benign, consistent with thick-walled hydrocele sac with focal calcifications. | |||
</pre> | |||
===Block letters=== | ===Block letters=== | ||
<pre> | <pre> | ||
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Benign connective tissue (including skeletal muscle, nerves and blood vessels) is also present. | Benign connective tissue (including skeletal muscle, nerves and blood vessels) is also present. | ||
==See also== | ==See also== | ||
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[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Genitourinary pathology]] | |||
Latest revision as of 18:50, 10 November 2025
| Hydrocele testis | |
|---|---|
| Diagnosis in short | |
|
| |
| LM | cyst lined by simple epithelium, lack of spermatocytes |
| LM DDx | spermatocele |
| Site | testis |
|
| |
| Prognosis | benign |
| Clin. DDx | spermatocele, testicular tumour |
| Treatment | excision |
Hydrocele testis is a benign pathology of the testis.
Hydrocele sac redirects to this article.
General
- Benign.
- May be seen in association with a testicular neoplasm.[1]
- Common.[2]
- May be a "no yield" specimen - in series of 264 cases no malignancy was seen.[3]
Clinical:
- Scrotal mass.
Microscopic
Features:
- Cyst lined by a simple ciliated epithelium.
- Does not contain sperm.
DDx:
- Spermatocele - contains sperm.
Sign out
Submitted as "Right Hydrocele Sac", Excision:
- Consistent with hydrocele sac.
Submitted as "Left Hydrocele Sac", Excision:
- Benign, consistent with thick-walled hydrocele sac with focal calcifications.
Block letters
HYDROCELE SAC, LEFT, EXCISION: - CONSISTENT WITH HYDROCELE SAC.
SOFT TISSUE ("HYDROCELE SAC"),LEFT, EXCISION:
- FIBROADIPOSE TISSUE COVERED BY MESOTHELIUM WITH REACTIVE CHANGES -- CONSISTENT
WITH HYDROCELE SAC.
- EPIDIDYMIS WITH SPERM (INCIDENTAL FINDING).
Micro
The sections shows fragments of tissue compatible with a benign cyst, that had a fibrous wall and was lined by a simple epithelium. No spermatocytes are identified.
Benign connective tissue (including skeletal muscle, nerves and blood vessels) is also present.
See also
References
- ↑ Junnila, J.; Lassen, P. (Feb 1998). "Testicular masses.". Am Fam Physician 57 (4): 685-92. PMID 9490992.
- ↑ Wampler, SM.; Llanes, M. (Sep 2010). "Common scrotal and testicular problems.". Prim Care 37 (3): 613-26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202.
- ↑ Shah VS, Nepple KG, Lee DK (October 2014). "Routine pathology evaluation of hydrocele and spermatocele specimens is associated with significant costs and no identifiable benefit". J Urol 192 (4): 1179–82. doi:10.1016/j.juro.2014.04.085. PMID 24768992.