Hydrocele testis

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.
• Common.

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

• Testis.