Spermatic cord
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The spermatic cord is occasionally seen by pathologists.
Overview
Contains:
- Vas deferens.
- Testicular artery.
- Testicular vein.
May contain:
- Müllerian-like remnants - ciliated columnar epithelium with basal nuclei and eosinophilic cytoplasm.[1]
Specific entities
Sperm granuloma
General
- Extravasated sperm.
- Common post-vasectomy.[2][3]
- May present as a mass.
- Can be seen in the context of vasitis nodosa.
Microscopic
Features:
- Sperm - small darking staining ovoid bodies.
- The tail is generally no seen in light microscopy.
- Histocytes +/-intracytoplasmic sperm.[4]
- +/-Multi-nucleated giant cells.
Images:
Spermatic cord lipoma
Main article: Lipoma
- Like lipomas elsewhere.
Spermatic cord varicocele
General
- Left > right.[5]
- Large varicoceles associated with infertility.[5]
- Thought to be due to increased testicular temperature.
Clinical:[5]
- Pain.
- Mass.
- Ipsilateral testicular atrophy.
Microscopic
Features:
- Dilated vein.
See also
References
- ↑ Walker, AN.; Mills, SE. (Jul 1984). "Glandular inclusions in inguinal hernial sacs and spermatic cords. Müllerian-like remnants confused with functional reproductive structures.". Am J Clin Pathol 82 (1): 85-9. PMID 6741877.
- ↑ Clenney, TL.; Higgins, JC. (Jul 1999). "Vasectomy techniques.". Am Fam Physician 60 (1): 137-46, 151-2. PMID 10414634.
- ↑ Gade, J.; Brasso, K. (Aug 1990). "[Sperm granulomata].". Ugeskr Laeger 152 (32): 2282-4. PMID 2205035.
- ↑ Pérez-Guillermo, M.; Thor, A.; Löwhagen, T.. "Spermatic granuloma. Diagnosis by fine needle aspiration cytology.". Acta Cytol 33 (1): 1-5. PMID 2916356.
- ↑ 5.0 5.1 5.2 Dobanovacki, D.. "Varicocele in adolescents.". Med Pregl 63 (11-12): 741-6. PMID 21548422.