睾丸网扩张Rete Dilation · 睾丸 · 雄性生殖系统 · NTP ntp-0469
诊断要点:睾丸网扩张应当被诊断并分级,并且如果其发生率和/或严重程度似乎与化学物质给药相关,则应当在病理学叙述中加以讨论。
病变描述
睾丸网扩张(Figure 1)是老年小鼠中相对常见的偶然性发现。正常的睾丸网由一系列称为直小管的管状通道组成,位于睾丸头端被膜下方。这些管道衬以低立方上皮,并通过由Sertoli细胞和偶见生殖细胞衬覆的过渡小管与生精小管相连。过渡小管和直小管可能被误认为萎缩的生精小管(关于睾丸网的正常组织学,见Testis - Seminiferous Tubule - Dilation)。睾丸液体流出部分受阻是睾丸网扩张最常见的原因,这可以是偶然性的或化学物质诱导的。该发现也可能与邻近生精小管管腔的扩张相关(见Testis - Sperm Stasis)。扩张的管道可能是空的或充满精子(见)。
诊断与分级建议(NTP 共识)
睾丸网扩张应当被诊断并分级,并且如果其发生率和/或严重程度似乎与化学物质给药相关,则应当在病理学叙述中加以讨论。当存在双侧受累时应当诊断为双侧受累。应当注意附睾起始段或附睾脂肪垫(输出管所在位置)内任何可能反映精子肉芽肿、精子停滞或管道扩张的肉眼或显微镜下病变的证据。睾丸网扩张可能与生精小管扩张和/或生精上皮萎缩相关,因为这些可能是液体流出受阻的结果。相关链接:Testis - Seminiferous Tubule - Dilation Testis - Sperm Stasis
图谱

英文原文
展开 NTP 官方英文描述与建议
Comment:
Dilation of the rete testis ( Figure 1 ) is a relatively common incidental finding in aging mice. The normal rete testis comprises a series of ductular channels called tubuli recti that lie subjacent to the capsule at the cranial pole of the testis. They are lined by a low cuboidal epithelium and are joined to the seminiferous tubules by transitional tubules that are lined by Sertoli cells and occasional germ cells. The transitional tubules and the tubuli recti can be mistaken for atrophic seminiferous tubules (see Testis - Seminiferous Tubule - Dilation for normal histology of rete testis). Partial obstruction to the outflow of fluid from the testis is the most common cause of rete testis dilation, and this can be incidental or chemically induced. The finding may also be associated with dilation of the adjacent seminiferous tubular lumens (see Testis - Sperm Stasis ). The dilated ducts may be empty or filled with sperm (see).
Recommendation:
Rete testis dilation should be diagnosed and graded and should be discussed in the pathology narrative if the incidence and/or severity appears to be related to chemical administration. Bilateral involvement should be diagnosed when present. Attention should be paid to any evidence of gross or microscopic lesions within the initial segment of the epididymis or the epididymal fat pad (location of the efferent ducts) that may reflect sperm granulomas, sperm stasis, or dilated ducts. Rete testis dilation may be associated with seminiferous tubular dilation and/or germinal epithelial atrophy, since these may be a consequence of obstruction of fluid outflow. Related Links: Testis - Seminiferous Tubule - Dilation Testis - Sperm Stasis
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-male/testis/ReteDilation
图谱总目录:NTP Nonneoplastic Lesion Atlas。 内容属美国联邦政府作品(公有领域),可引用;引用时请标注来源。
建议引用格式:NTP Nonneoplastic Lesion Atlas. Rete Dilation (testis). LabSmart 中文版:
https://www.labsmart.cn/ntp/testis-rete-dilation.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#testis-rete-dilation