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Spermatocele

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Part of the book series: Encyclopedia of Pathology ((EP))

Definition

Cystic dilatation of the efferent ductules of the rete testis or epididymis.

Clinical Features

  • Incidence

    It is a common condition, and it’s found by chance in 30% of men who undertake ultrasonography for other reasons.

  • Age

    It affects mainly young adult/adult males (20–50 years old).

  • Presentation

    It presents as an ovoid, soft, palpable mass, usually asymptomatic. It may become large and displace the testis.

  • Treatment

    A surgical solution is required only in selected cases, such as the persistence of the symptoms or the necessity of ruling out a paratesticular neoplasm.

  • Outcome

    It is a benign condition and the prognosis is excellent.

Macroscopy

Once removed, it appears as a collapsed membrane of a unilocular or multilocular cyst.

Microscopy

The wall of the cyst is lined by a single layer of cuboidal or flat epithelial cells, sometimes ciliated. The epithelial lining may form papillary projections lined by benign cells. The cyst contains proteinaceous fluid and spermatozoa. In...

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References and Further Reading

  • Lane, Z., & Epstein, J. I. (2010). Small blue cells mimicking small cell carcinoma in spermatocele and hydrocele specimens: A report of 5 cases. Human Pathology, 41(1), 88–93.

    Article  CAS  Google Scholar 

  • Yeh, H.-C., Wang, C.-J., et al. (2007). Giant Spermatocele mimicking hydrocele: A case report. The Kaohsiung Journal of Medical Sciences, 23(7), 366–369.

    Article  Google Scholar 

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Correspondence to Maria Rosaria Raspollini .

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Fattorini, C., Lopez-Beltran, A., Raspollini, M.R. (2019). Spermatocele. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4949-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4949-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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