ABSTRACT
Presentamos un varón, operado de criptorquidia bilateral, en el que macroscópicamente ambos testículos presentaban máculas y que en el estudio histológico se observaron grupos de túbulos seminíferos, con estroma y células de Leydig, rodeados por la albugínea, aislados del resto del parénquima testicular, siendo el diagnóstico histopatológico de "ectopia del parénquima testicular". Esta anomalía puede inducir a error y realizar laparotomías innecesarias, debido a que los túbulos seminíferos están rodeados por la albugínea, sin conexión aparente con el resto del parénquima testicular, siendo necesaria su valoración a largo plazo tanto durante la pubertad como en la edad adulta (AU)
We introduce a male patient with bilateral chryptorchidism submitted to surgery; during the intervention, macroscopically round macules were seen in the outer surface of both testes. In the round macules histological study, groups of seminiferous tubules were observed, including stroma and Leydigs intestitial cells surrounded of tunica albuginea, isolated from the rest of testicular parenchymal tissue; the diagnosis "Ectopic testicular parenchyma tissue" was confirmed by histopathological study. Due to the seminiferous tubules are surrounded by the tunica albuginea, with no apparent connection to the rest of the testicular parenchyma, a long-term assessment is required, both during puberty aswell as in adulthood; owing to that can mislead and make unnecessary laparotomies and orchiectomies in the future (AU)
Subject(s)
Humans , Male , Child , Cryptorchidism/surgery , Urogenital Abnormalities/surgery , Testis/abnormalitiesABSTRACT
We introduce a male patient with bilateral chryptorchidism submitted to surgery; during the intervention, macroscopically round macules were seen in the outer surface of both testes. In the round macules histological study, groups of seminiferous tubules were observed, including stroma and Leydig's intestitial cells surrounded of tunica albuginea, isolated from the rest of testicular parenchymal tissue; the diagnosis "Ectopic testicular parenchyma tissue" was confirmed by histopathological study. Due to the seminiferous tubules are surrounded by the tunica albuginea, with no apparent connection to the rest of the testicular parenchyma, a long-term assessment is required, both during puberty as well as in adulthood; owing to that can mislead and make unnecessary laparotomies and orchiectomies in the future.
