Ectopic adrenal tissue in the spermatic cord in pediatric patients: Surgical implications
| Autor: | Alberto Sanchez-Abuin, Pais E, Tellado Mg, Méndez R, Liras J, Somoza I, Vela D |
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| Předmět: |
Male
medicine.medical_specialty Urology Choristoma lcsh:RC870-923 Spermatic cord Humans Medicine Medulla adrenal glands child aberrant tissue Groin business.industry Adrenal cortex Incidence (epidemiology) spermatic cord lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery Inguinal hernia medicine.anatomical_structure Child Preschool Adrenal tissue Genital Diseases Male business Hormone |
| Zdroj: | Scopus-Elsevier International Brazilian Journal of Urology, Vol 32, Iss 2, Pp 202-207 (2006) International braz j urol, Volume: 32, Issue: 2, Pages: 202-207, Published: APR 2006 International braz j urol v.32 n.2 2006 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| Popis: | Objective: To study the incidence and relevance of ectopic adrenal tissue in pediatric patients who underwent groin surgicalexplorations.Materials and Methods: We studied 1120 patients with groin surgical explorations during a period of 8 consecutive years.Patients’ clinical data and histological findings were analyzed.Results: We found ectopic adrenal tissue in 13 patients in 1120 groin surgical exploration (1.16%). Of the 13 cases, 5 werediagnosed as having undescended testes, 6 inguinal hernia and 2 communicating hydrocele. Median age at diagnosis was5.6 years. Histological sections showed adrenal cortical tissue with no medulla present.Conclusion: Based on the clinical implications of those adrenal rests it is mandatory the removal of this ectopic tissuewhenever encountered during surgical interventions in the groin region in children.Key words: adrenal glands; aberrant tissue; spermatic cord; childInt Braz J Urol. 2006; 32: 202-7 INTRODUCTION Ectopic adrenal tissue along the spermaticcord is a rare diagnosis in childhood. SinceMorgagni´s first description in 1740, only 95 additionalcases have been reported in the available English lit-erature, most of them in pediatric patients. Overallincidence in different studies varies from 1% to 9.3%of the patients who underwent groin surgical explo-rations (Table-1). Adrenal cortex rests may undergohyperplasia in patients with increased adrenocortico-tropic hormone (ACTH) production and potentiallymalignant neoplasm.We report thirteen cases of accessory adrenallocated in the spermatic cord. The clinical and surgi-cal implications of this uncommon anomaly are dis-cussed and a through review of the literature is made. |
| Databáze: | OpenAIRE |
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