Spermatic cord

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The spermatic cord is occasionally seen by pathologists.

Overview

Contains:

May contain:

  • Müllerian-like remnants - ciliated columnar epithelium with basal nuclei and eosinophilic cytoplasm.[1]

Specific entities

Sperm granuloma

General

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

  • 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

  1. 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.
  2. Clenney, TL.; Higgins, JC. (Jul 1999). "Vasectomy techniques.". Am Fam Physician 60 (1): 137-46, 151-2. PMID 10414634.
  3. Gade, J.; Brasso, K. (Aug 1990). "[Sperm granulomata].". Ugeskr Laeger 152 (32): 2282-4. PMID 2205035.
  4. Pérez-Guillermo, M.; Thor, A.; Löwhagen, T.. "Spermatic granuloma. Diagnosis by fine needle aspiration cytology.". Acta Cytol 33 (1): 1-5. PMID 2916356.
  5. 5.0 5.1 5.2 Dobanovacki, D.. "Varicocele in adolescents.". Med Pregl 63 (11-12): 741-6. PMID 21548422.