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'''Splenogonadal fusion''' is rare congenital pathology. | '''Splenogonadal fusion''' is rare congenital pathology in which [[spleen|splenic tissue]] is fused to a gonad ([[testis]] or [[ovary]]). | ||
'''Testicular-splenic fusion''' (abbreviated '''TSF''') and '''spleno-ovarian fusion'''<ref name=pmid17163792>{{Cite journal | last1 = O'Malley | first1 = DP. | last2 = Kernek | first2 = K. | last3 = Faught | first3 = P. | title = Spleno-ovarian fusion. | journal = Pediatr Dev Pathol | volume = 9 | issue = 6 | pages = 501-2 | month = | year = | doi = 10.2350/06-03-0071.1 | PMID = 17163792 }}</ref> redirect here. | |||
==General== | ==General== | ||
*May mimic a testicular tumour.<ref>{{Cite journal | last1 = Sountoulides | first1 = P. | last2 = Neri | first2 = F. | last3 = Bellocci | first3 = R. | last4 = Schips | first4 = L. | last5 = Cindolo | first5 = L. | title = Splenogonadal fusion mimicking a testis tumor. | journal = J Postgrad Med | volume = 60 | issue = 2 | pages = 202-4 | month = | year = | doi = 10.4103/0022-3859.132350 | PMID = 24823526 }}</ref> | *May mimic a testicular tumour.<ref name=pmid24823526>{{Cite journal | last1 = Sountoulides | first1 = P. | last2 = Neri | first2 = F. | last3 = Bellocci | first3 = R. | last4 = Schips | first4 = L. | last5 = Cindolo | first5 = L. | title = Splenogonadal fusion mimicking a testis tumor. | journal = J Postgrad Med | volume = 60 | issue = 2 | pages = 202-4 | month = | year = | doi = 10.4103/0022-3859.132350 | PMID = 24823526 }}</ref> | ||
*Usually diagnosed by pathology.<ref name=pmid24137272>{{Cite journal | last1 = Li | first1 = WF. | last2 = Luan | first2 = MX. | last3 = Ma | first3 = Z. | last4 = Chen | first4 = YJ. | title = Splenogonadal fusion: Report of four cases and review of the literature. | journal = Exp Ther Med | volume = 6 | issue = 3 | pages = 816-818 | month = Sep | year = 2013 | doi = 10.3892/etm.2013.1207 | PMID = 24137272 }}</ref> | |||
Subclassification:<ref name=pmi18971159>{{Cite journal | last1 = Chen | first1 = SL. | last2 = Kao | first2 = YL. | last3 = Sun | first3 = HS. | last4 = Lin | first4 = WL. | title = Splenogonadal fusion. | journal = J Formos Med Assoc | volume = 107 | issue = 11 | pages = 892-5 | month = Nov | year = 2008 | doi = 10.1016/S0929-6646(08)60206-5 | PMID = 18971159 }}</ref> | |||
*Continuous - attached to orthotopic spleen. | |||
*Discontinuous - no attachment to orthotopic [[spleen]]. | |||
==Gross== | |||
*Mass lesion. | |||
===Image=== | |||
<gallery> | |||
Image:Splenogonadal fusion.JPG | Testicular-splenic fusion. (WC) | |||
</gallery> | |||
==Microscopic== | |||
Features: | |||
*Benign splenic tissue. | |||
*Benign gonadal tissue ([[testis]] or [[ovary]]). | |||
DDx: | |||
*[[Germ cell neoplasia in situ]] (GCNIS) - testis only. | |||
*[[Germ cell tumour]]. | |||
*Other testicular or ovarian tumours. | |||
===Images=== | |||
<gallery> | |||
Image: Testicular-splenic fusion -- very low mag.jpg | TSF - very low mag. | |||
Image: Testicular-splenic fusion -- low mag.jpg | TSF - low mag. | |||
Image: Testicular-splenic fusion - alt -- low mag.jpg | TSF - low mag. | |||
Image: Testicular-splenic fusion -- intermed mag.jpg | TSF - intermed. mag. | |||
Image: Testicular-splenic fusion - b -- very low mag.jpg | TSF - very low mag. | |||
Image: Testicular-splenic fusion - b -- low mag.jpg | TSF - low mag. | |||
</gallery> | |||
==See also== | ==See also== |
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