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...
This is a preview of subscription content, log in via an institution.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this entry
Cite this entry
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
Download citation
DOI: https://doi.org/10.1007/978-3-319-28845-1_4949-1
Received:
Accepted:
Published:
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