Difference between revisions of "Spermatic cord"

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*Testicular artery.
*Testicular artery.
*Testicular vein.
*Testicular vein.
May contain:
*Müllerian-like remnants - ciliated columnar epithelium with basal nuclei and eosinophilic cytoplasm.<ref name=pmid6741877>{{Cite journal  | last1 = Walker | first1 = AN. | last2 = Mills | first2 = SE. | title = Glandular inclusions in inguinal hernial sacs and spermatic cords. Müllerian-like remnants confused with functional reproductive structures. | journal = Am J Clin Pathol | volume = 82 | issue = 1 | pages = 85-9 | month = Jul | year = 1984 | doi =  | PMID = 6741877 }}</ref>


=Specific entities=
=Specific entities=
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===General===
===General===
*Extravasated sperm.
*Extravasated sperm.
*Common post-vasectomy.<ref name=pmid10414634>{{Cite journal  | last1 = Clenney | first1 = TL. | last2 = Higgins | first2 = JC. | title = Vasectomy techniques. | journal = Am Fam Physician | volume = 60 | issue = 1 | pages = 137-46, 151-2 | month = Jul | year = 1999 | doi =  | PMID = 10414634 }}</ref><ref name=pmid2205035>{{Cite journal  | last1 = Gade | first1 = J. | last2 = Brasso | first2 = K. | title = [Sperm granulomata]. | journal = Ugeskr Laeger | volume = 152 | issue = 32 | pages = 2282-4 | month = Aug | year = 1990 | doi =  | PMID = 2205035 }}</ref>
*Common post-[[vasectomy]].<ref name=pmid10414634>{{Cite journal  | last1 = Clenney | first1 = TL. | last2 = Higgins | first2 = JC. | title = Vasectomy techniques. | journal = Am Fam Physician | volume = 60 | issue = 1 | pages = 137-46, 151-2 | month = Jul | year = 1999 | doi =  | PMID = 10414634 }}</ref><ref name=pmid2205035>{{Cite journal  | last1 = Gade | first1 = J. | last2 = Brasso | first2 = K. | title = [Sperm granulomata]. | journal = Ugeskr Laeger | volume = 152 | issue = 32 | pages = 2282-4 | month = Aug | year = 1990 | doi =  | PMID = 2205035 }}</ref>
*May present as a mass.
*May present as a mass.
*Can be seen in the context of [[vasitis nodosa]].
*Can be seen in the context of [[vasitis nodosa]].
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*[[Genitourinary pathology]].
*[[Genitourinary pathology]].
*[[Vas deferens]].
*[[Vas deferens]].
*[[Epididymis]].


=References=
=References=

Latest revision as of 21:41, 4 June 2015

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.