Ectopic adrenal tissue in the spermatic cord in pediatric patients: surgical implications

To study the incidence and relevance of ectopic adrenal tissue in pediatric patients who underwent groin surgical explorations. We studied 1120 patients with groin surgical explorations during a period of 8 consecutive years. Patients' clinical data and histological findings were analyzed. We f...

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Published inInternational Brazilian journal of urology Vol. 32; no. 2; pp. 202 - 207
Main Authors Mendez, Roberto, Tellado, Manuel G, Somoza, Ivan, Liras, Jorge, Sanchez-Abuin, A, Pais, Ernesto, Vela, Diego
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Urologia 01.04.2006
Subjects
aberrant tissue
Adrenal Glands
Child
Child, Preschool
Choristoma - pathology
Choristoma - surgery
Genital Diseases, Male - pathology
Genital Diseases, Male - surgery
Humans
Male
spermatic cord
Spermatic Cord - pathology
Spermatic Cord - surgery
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Summary:To study the incidence and relevance of ectopic adrenal tissue in pediatric patients who underwent groin surgical explorations. We studied 1120 patients with groin surgical explorations during a period of 8 consecutive years. Patients' clinical data and histological findings were analyzed. We found ectopic adrenal tissue in 13 patients in 1120 groin surgical exploration (1.16%). Of the 13 cases, 5 were diagnosed as having undescended testes, 6 inguinal hernia and 2 communicating hydrocele. Median age at diagnosis was 5.6 years. Histological sections showed adrenal cortical tissue with no medulla present. Based on the clinical implications of those adrenal rests it is mandatory the removal of this ectopic tissue whenever encountered during surgical interventions in the groin region in children.
Bibliography:ObjectType-Article-2
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ObjectType-Review-1
ISSN:1677-5538
1677-5538
1677-6119
DOI:10.1590/s1677-55382006000200013