Difference between revisions of "Spermatocele"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = Spermatocele_-_very_high_mag.jpg | |||
| Width = | |||
| Caption = Spermatocele. [[H&E stain]]. | |||
| Synonyms = | |||
| Micro = cyst lined by a simple ciliated epithelium, contain sperm | |||
| Subtypes = | |||
| LMDDx = [[hydrocele]] | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Site = [[epididymis]], [[spermatic cord]], [[rete testis]] (rare) | |||
| Assdx = | |||
| Syndromes = | |||
| Clinicalhx = | |||
| Signs = +/-mass | |||
| Symptoms = +/-pain | |||
| Prevalence = common | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = [[hydrocele]] | |||
| Tx = excision | |||
}} | |||
'''Spermatocele''' is a benign pathology typically arising from the [[epididymis]]. | |||
==General== | |||
*Benign. | |||
*Cyst of the epididymis (classic). | |||
**May arise in the rete testis or [[vas deferens]].<ref>URL: [http://emedicine.medscape.com/article/443432-overview http://emedicine.medscape.com/article/443432-overview]. Accessed on: 5 March 2012.</ref> | |||
Clinical: | |||
*Often asymptomatic. | |||
*Excised due to pain or mass effect.<ref name=pmid18357964>{{Cite journal | last1 = Walsh | first1 = TJ. | last2 = Seeger | first2 = KT. | last3 = Turek | first3 = PJ. | title = Spermatoceles in adults: when does size matter? | journal = Arch Androl | volume = 53 | issue = 6 | pages = 345-8 | month = | year = | doi = | PMID = 18357964 }}</ref> | |||
==Microscopic== | |||
Features: | |||
*Cyst lined by a simple ciliated epithelium. | |||
*Contain sperm. | |||
**Head: ~1/2 the size of a [[RBC]], black. | |||
**Tail: infrequently seen. | |||
Note: | |||
*Small cellular clusters may be present. | |||
**May mimic [[small cell carcinoma]].<ref name=pmid19740515>{{Cite journal | last1 = Lane | first1 = Z. | last2 = Epstein | first2 = JI. | title = Small blue cells mimicking small cell carcinoma in spermatocele and hydrocele specimens: a report of 5 cases. | journal = Hum Pathol | volume = 41 | issue = 1 | pages = 88-93 | month = Jan | year = 2010 | doi = 10.1016/j.humpath.2009.06.018 | PMID = 19740515 }}</ref> | |||
DDx: | |||
*[[Hydrocele testis]] - do not contain sperm. | |||
===Images=== | |||
<gallery> | |||
Image:Spermatocele_-_intermed_mag.jpg | Spermatocele - intermed. mag. (WC) | |||
Image:Spermatocele_-_high_mag.jpg | Spermatocele - high mag. (WC) | |||
Image:Spermatocele_-_very_high_mag.jpg | Spermatocele - very high mag. (WC) | |||
</gallery> | |||
www: | |||
*[http://www.webpathology.com/image.asp?n=4&Case=40 Spermatocele - low mag. (webpathology.com)]. | |||
*[http://www.webpathology.com/image.asp?n=5&Case=40 Spermatocele - high mag. (webpathology.com)]. | |||
==Sign out== | |||
<pre> | |||
Submitted as "Left Spermatocele Sac", Excision: | |||
- Consistent with spermatocele sac. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
==See also== | |||
*[[Testis]]. | |||
*[[Spermatic cord]]. | |||
*[[Rete testis]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Testis]] | |||
Latest revision as of 13:24, 29 June 2016
| Spermatocele | |
|---|---|
| Diagnosis in short | |
 Spermatocele. H&E stain. | |
|
| |
| LM | cyst lined by a simple ciliated epithelium, contain sperm |
| LM DDx | hydrocele |
| Site | epididymis, spermatic cord, rete testis (rare) |
|
| |
| Signs | +/-mass |
| Symptoms | +/-pain |
| Prevalence | common |
| Prognosis | benign |
| Clin. DDx | hydrocele |
| Treatment | excision |
Spermatocele is a benign pathology typically arising from the epididymis.
General
- Benign.
- Cyst of the epididymis (classic).
- May arise in the rete testis or vas deferens.[1]
Clinical:
- Often asymptomatic.
- Excised due to pain or mass effect.[2]
Microscopic
Features:
- Cyst lined by a simple ciliated epithelium.
- Contain sperm.
- Head: ~1/2 the size of a RBC, black.
- Tail: infrequently seen.
Note:
- Small cellular clusters may be present.
- May mimic small cell carcinoma.[3]
DDx:
- Hydrocele testis - do not contain sperm.
Images
Spermatocele - intermed. mag. (WC)
Spermatocele - high mag. (WC)
Spermatocele - very high mag. (WC)
www:
Sign out
Submitted as "Left Spermatocele Sac", Excision:
- Consistent with spermatocele sac.
- NEGATIVE for malignancy.
See also
References
- ↑ URL: http://emedicine.medscape.com/article/443432-overview. Accessed on: 5 March 2012.
- ↑ Walsh, TJ.; Seeger, KT.; Turek, PJ.. "Spermatoceles in adults: when does size matter?". Arch Androl 53 (6): 345-8. PMID 18357964.
- ↑ Lane, Z.; Epstein, JI. (Jan 2010). "Small blue cells mimicking small cell carcinoma in spermatocele and hydrocele specimens: a report of 5 cases.". Hum Pathol 41 (1): 88-93. doi:10.1016/j.humpath.2009.06.018. PMID 19740515.