Difference between revisions of "Testicular torsion"
Jump to navigation
Jump to search
(→Microscopic: +grading) |
|||
| Line 15: | Line 15: | ||
*Desquamation of germ cells. | *Desquamation of germ cells. | ||
*+/-Necrosis of germ cells. | *+/-Necrosis of germ cells. | ||
DDx: | DDx: | ||
| Line 31: | Line 20: | ||
</ref> | </ref> | ||
*[[Intratubular germ cell neoplasia]] (incidental finding). | *[[Intratubular germ cell neoplasia]] (incidental finding). | ||
===Grading=== | |||
Adapted from ''Mikuz'':<ref name=pmid3842075>{{Cite journal | last1 = Mikuz | first1 = G. | title = Testicular torsion: simple grading for histological evaluation of tissue damage. | journal = Appl Pathol | volume = 3 | issue = 3 | pages = 134-9 | month = | year = 1985 | doi = | PMID = 3842075 }}</ref> | |||
{| class="wikitable center" | |||
! Grade | |||
! Features | |||
|- | |||
| 1 | |||
| intertubular edema, limited blood extravasation, desquamation of germ cells | |||
|- | |||
| 2 | |||
| diffuse intertubular hemorrhage, focal necrosis of the germ cells | |||
|- | |||
| 3 | |||
| diffuse infarction of parenchyma | |||
|} | |||
==See also== | ==See also== | ||
Revision as of 22:06, 9 December 2014
Testicular torsion is rotation of the testis resulting in reduced to no blood flow.
General
Clinical:
- Pain.
Treatment:
- Surgery.
Microscopic
Features:
- Intratubular hemorrhage.
- Desquamation of germ cells.
- +/-Necrosis of germ cells.
DDx:
- Testicular tumour (e.g. germ cell tumour).[1]
- Intratubular germ cell neoplasia (incidental finding).
Grading
Adapted from Mikuz:[2]
| Grade | Features |
|---|---|
| 1 | intertubular edema, limited blood extravasation, desquamation of germ cells |
| 2 | diffuse intertubular hemorrhage, focal necrosis of the germ cells |
| 3 | diffuse infarction of parenchyma |
See also
References
- ↑ Kao, CS.; Zhang, C.; Ulbright, TM. (Jan 2014). "Testicular hemorrhage, necrosis, and vasculopathy: likely manifestations of intermittent torsion that clinically mimic a neoplasm.". Am J Surg Pathol 38 (1): 34-44. doi:10.1097/PAS.0b013e31829c0206. PMID 24061519.
- ↑ Mikuz, G. (1985). "Testicular torsion: simple grading for histological evaluation of tissue damage.". Appl Pathol 3 (3): 134-9. PMID 3842075.