Hydrocele testis
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| 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.[1]
- Common.[2]
- May be a "no yield" specimen - in series of 264 cases no malignancy was seen.[3]
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
References
- ↑ Junnila, J.; Lassen, P. (Feb 1998). "Testicular masses.". Am Fam Physician 57 (4): 685-92. PMID 9490992.
- ↑ Wampler, SM.; Llanes, M. (Sep 2010). "Common scrotal and testicular problems.". Prim Care 37 (3): 613-26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202.
- ↑ Shah VS, Nepple KG, Lee DK (October 2014). "Routine pathology evaluation of hydrocele and spermatocele specimens is associated with significant costs and no identifiable benefit". J Urol 192 (4): 1179–82. doi:10.1016/j.juro.2014.04.085. PMID 24768992.