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paratesticular papillary cystadenoma

Friday 10 September 2010

Papillary Cystadenomas are formed by one or several cystic cavities lined by an epithelium with multiple papillary proliferations.

Synopsis

- +/- areas of cribriform glandular proliferations
- The papillae are composed of a thin, connective tissue layer and are lined by cylindrical simple or pseudostratified epithelium.
- Most of the proliferative cylindrical cells show numerous cilia in the apical cytoplasm, although some clear globular cells lacking cilia also are observed.
- A discontinuous layer of hyperchromatic basal cells also could be distinguished

Immunohistochemical studies

- marked immunostaining of CK7 antibody in the epithelial cells of all cystadenomas.
- Focal expression of CD10 protein is detected in the apical cytoplasm of the benign epithelial proliferative cells.
- No CK20 expression was observed in the epithelium of cystadenomas.

- Epididymal and testicular hydatids can be used as control samples for each antibody. The epididymal hydatid (control for wolffian embryonic remnants) expresses CK7 and CD10 antibodies; CK20 is negative.

References

- Paratesticular cysts with benign epithelial proliferations of wolffian origin. Nistal M, González-Peramato P, Serrano A, Vega-Perez M, De Miguel MP, Regadera J. Am J Clin Pathol. 2005 Aug;124(2):245-51. PMID: 16040296 (Free)