Testicular scar: Difference between revisions
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{{ Infobox diagnosis | {{ Infobox diagnosis | ||
| Name = {{PAGENAME}} | | Name = {{PAGENAME}} | ||
| Image = | | Image = Testicular_scar_--_low_mag.jpg | ||
| Width = | | Width = | ||
| Caption = | | Caption = Testicular scar. [[H&E stain]]. | ||
| Synonyms = scar of testis | | Synonyms = scar of testis | ||
| Micro = seminiferous tubules replaced by fibrosis (hyaline material with a relatively low cellularity and no nuclear atypia) +/-hemosiderin-laden macrophages, atrophic changes (see ''[[testicular atrophy]]'') | | Micro = seminiferous tubules replaced by fibrosis (hyaline material with a relatively low cellularity and no nuclear atypia) +/-hemosiderin-laden macrophages, atrophic changes (see ''[[testicular atrophy]]'') | ||
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==General== | ==General== | ||
*Well-reported uncommon finding. | *Well-reported uncommon finding. | ||
*May result from the spontaneous regression of a (germ cell) tumour.<ref name=pmid16819328>{{cite journal |author=Balzer BL, Ulbright TM |title=Spontaneous regression of testicular germ cell tumors: an analysis of 42 cases |journal=Am. J. Surg. Pathol. |volume=30 |issue=7 |pages=858–65 |year=2006 |month=July |pmid=16819328 |doi=10.1097/01.pas.0000209831.24230.56 |url=}}</ref> | |||
*Can be the result of trauma, (a prior untreated) [[testicular torsion]] or infection. | |||
==Gross== | ==Gross== | ||
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*[[necrosis|Necrotic]] tumour. | *[[necrosis|Necrotic]] tumour. | ||
*[[Germ cell tumour]], e.g. [[seminoma]]. | *[[Germ cell tumour]], e.g. [[seminoma]]. | ||
*Regressed germ cell tumour - suggestive features:<ref name=pmid16819328/> | |||
**Distinct scar +/-[[germ cell neoplasia in situ]] (GCNIS) +/-coarse calcifications (intratubular). | |||
**Scar with prominent (small) blood vessels (weakly suggestive). | |||
**Scar with lymphoplasmacytic inflammatory infiltrate (weakly suggestive). | |||
===Images=== | |||
<gallery> | |||
Image: Testicular scar -- very low mag.jpg | Testicular scar - very low mag. | |||
Image: Testicular scar -- low mag.jpg | Testicular scar - low mag. | |||
Image: Testicular scar -- intermed mag.jpg | Testicular scar - intermed. mag. | |||
Image: Testicular scar -- high mag.jpg | Testicular scar - high mag. | |||
Image: Testicular scar - alt -- high mag.jpg | Testicular scar - high mag. | |||
Image: Testicular scar -- very high mag.jpg | Testicular scar - very high mag. | |||
</gallery> | |||
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