Difference between revisions of "Testicular torsion"
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Features: | Features: | ||
*Intratubular hemorrhage. | *Intratubular hemorrhage. | ||
*Desquamation of germ cells. | |||
*+/-Necrosis of germ cells. | |||
May be graded:<ref name=pmid3842075>{{Cite journal | last1 = Mikuz | first1 = G. | title = Testicular torsion: simple grading for histological evaluation of tissue damage. | journal = Appl Pathol | volume = 3 | issue = 3 | pages = 134-9 | month = | year = 1985 | doi = | PMID = 3842075 }}</ref> | |||
*Grade 1: | |||
**Intertubular edema. | |||
**Limited blood extravasation. | |||
**Desquamation of germ cells. | |||
*Grade 2: | |||
**Diffuse intertubular hemorrhage. | |||
**Focal necrosis of the germ cells. | |||
*Grade 3: | |||
**Infarction of parenchyma - diffuse. | |||
DDx: | DDx: | ||
Revision as of 20:28, 9 December 2014
Testicular torsion is rotation of the testis resulting in reduced to no blood flow.
General
Clinical:
- Pain.
Treatment:
- Surgery.
Microscopic
Features:
- Intratubular hemorrhage.
- Desquamation of germ cells.
- +/-Necrosis of germ cells.
May be graded:[1]
- Grade 1:
- Intertubular edema.
- Limited blood extravasation.
- Desquamation of germ cells.
- Grade 2:
- Diffuse intertubular hemorrhage.
- Focal necrosis of the germ cells.
- Grade 3:
- Infarction of parenchyma - diffuse.
DDx:
- Testicular tumour (e.g. germ cell tumour).[2]
- Intratubular germ cell neoplasia (incidental finding).
See also
References
- ↑ Mikuz, G. (1985). "Testicular torsion: simple grading for histological evaluation of tissue damage.". Appl Pathol 3 (3): 134-9. PMID 3842075.
- ↑ Kao, CS.; Zhang, C.; Ulbright, TM. (Jan 2014). "Testicular hemorrhage, necrosis, and vasculopathy: likely manifestations of intermittent torsion that clinically mimic a neoplasm.". Am J Surg Pathol 38 (1): 34-44. doi:10.1097/PAS.0b013e31829c0206. PMID 24061519.