Document Detail


Adenomatous hyperplasia of the rete testis. A review and report of new cases.
MedLine Citation:
PMID:  12792886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adenomatous hyperplasia of the rete testis (AHRT) is an uncommon benign lesion that preferentially involves the septal rete testis and mediastinal rete testis. It is usually an incidental finding in surgical specimens from cryptorchidism and testicular tumour. It can be found in autopsy specimens from patients dying with different chronic diseases and newborns with kidney diseases. Since its first description many articles have been published communicating new cases and putting forward some hypotheses on its aetiology and pathogenic mechanisms. Some authors suggest a role for hormonal changes, tumour invasion and action of chemical agents. We think that AHRT should be categorised into two main aetiological categories: congenital and acquired. The cases associated with different kidney and spermatic duct diseases, most cases associated with cryptorchidic testis and some cases associated with testicular germ cell tumour should be included in the congenital group. The remaining cases associated with chemical agents, some hormonal changes (i.e. androgen blockade) and most of the germ cell tumour cases can be considered as acquired AHRT. Differential diagnosis must be established mainly with metastatic adenocarcinoma of prostate to testis and primary adenocarcinoma of the rete testis. Pseudohyperplasia of the rete testis must also be considered in atrophic testes. Here we review the papers published on this subject and report our recent cases.
Authors:
M Nistal; M C Castillo; J Regadera; M A García-Cabezas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Histology and histopathology     Volume:  18     ISSN:  0213-3911     ISO Abbreviation:  Histol. Histopathol.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-06-06     Completed Date:  2004-03-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8609357     Medline TA:  Histol Histopathol     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  741-52     Citation Subset:  IM    
Affiliation:
Department of Pathology, La Paz University Hospital, Madrid, Spain. mnistal.hulp@salud.madrid.org
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / pathology
Adenoma / pathology*
Adolescent
Adult
Aged
Child
Child, Preschool
Cryptorchidism / pathology
Diagnosis, Differential
Humans
Hyperplasia / pathology*
Immunohistochemistry
Infant
Kidney / pathology
Male
Middle Aged
Neoplasm Metastasis
Prostatic Neoplasms / diagnosis
Rete Testis / pathology*
Spermatozoa / pathology
Testicular Neoplasms / pathology
Testis / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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