Hydrocele testis

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.
• Common.

Clinical:

• Scrotal mass.

Microscopic

Features:

• Cyst lined by a simple ciliated epithelium.
• Does not contain sperm.

DDx:

• Spermatocele - contains sperm.

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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

• Testis.