Ectopic Adrenocortical Tissue in the Spermatic Cord in a 44-Year-old Man

Müllhaupt, Gautier; Mordasini, Livio; Gramann, Tobias; Ertel, Vera; Schmid, Hans‐Peter; Abt, Dominik

doi:10.1016/j.eucr.2014.05.009

Cited by 3 publications

(1 citation statement)

References 6 publications

(9 reference statements)

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“… 5 6 These remnants are usually found in the pediatric age but are also described in adults. 7 8 Ectopic adrenal cortical tissue can be found in the upper abdomen or anywhere along the track of the gonadal descent. The most frequent sites are celiac axis area (32%), broad ligament (23%), adnexa of the testes (7.5%), kidney (subcapsular upper pole) (0.1–6%), and spermatic cord (1–9.3%).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Marte

2018

European J Pediatr Surg Rep

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Marte

2018

European J Pediatr Surg Rep

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Adrenal Rests in the Uro-genital Tract of an Adult Population

et al. 2021

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Ectopic adrenal rests are a rare condition which can be found in various sites, generally in the retroperitoneum or pelvis along the path of gonadal descent. Their real prevalence is unknown. Males are more commonly affected, at least in the pediatric age. Adrenal rests are usually clinically silent and incidentally found in surgical samples, mostly in the pediatric population, and rarely in adults. With the aim of increasing knowledge and estimating the prevalence of ectopic adrenocortical tissue in the adult population, 44 adrenal rests in the urogenital tract of 40 adults are described. These represent approximately 0.07% of the total number of urogenital and gynecological surgeries performed in the 22 considered years. Adrenal rests were identified in the spermatic cord (10 males) and in paraovarian, parasalpingeal, or infundibulopelvic ligament locations (30 females). All but one was incidental findings. One case regarded an adrenocortical carcinoma arisen in adrenal rests. A literature review of adrenal ectopia in the urogenital tract of adults identified 57 reported cases from 53 patients, with similar clinicopathological features as those of our series, with the exception of a lower incidence of parasalpingeal locations. Despite their limited clinical implications, awareness of ectopic adrenal rests is essential also in adults for at least two reasons: (a) to correctly identify sources of adrenocortical hormone production in case of adrenal insufficiency or hormonal imbalance and (b) to avoid misinterpretations in the diagnostic workup of renal cell carcinoma, adrenocortical tumors, and rare gonadal neoplasms, including Sertoli/Leydig cell tumors.

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Spermatic Cord and Testicular Adnexa

Bostwick¹,

Ma²

2020

Urologic Surgical Pathology

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Ectopic Adrenocortical Tissue in the Spermatic Cord in a 44-Year-old Man

Cited by 3 publications

References 6 publications

Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Adrenal Rests in the Uro-genital Tract of an Adult Population

Spermatic Cord and Testicular Adnexa

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