Journal of Cytology
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Year : 1998  |  Volume : 15  |  Issue : 1  |  Page : 59-68

Clinical utility of fine needle aspiration cytology in testicular and scrotal pathology

Pathologists, Anand Institute of Laboratory Medicine, Bangalore, India

Correspondence Address:
N Jayaram
Consultant Pathologist, Anand Institute of Laboratory Medicine, No.11, Blue Cross Chambers, Infantry Road Cross. Bangalore - 560 001
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Source of Support: None, Conflict of Interest: None

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During a study of five years from January 1993 to January 1998, a total of 6056 patients were subjected to FNAC at this Institute. Of these, 165 (3.05%) had symptoms and signs related to scrotum and testis. Ninety two of these patients were being investigated for infertility (49.73%), 77(41.61%) had non-neoplastic lesions and 16 patients (8.66%) were found to have neoplasms. Of the 92 patients referred for workup of male infertility, 43 (46.66%) were found to have severe atrophy with Sertoli cells only, 22 (23.91%) had hypospermatogenesis, 22 (23.91%) showed normal spermatogenesis, and 5 patients (5.52%) had maturation arrest. Among the patients with non-neoplastic lesions, 40 (51.94%) had inflammatory masses (nonspecific inflammation 22 cases, granulomas in 17 and malakoplakia in one) and the remaining 37 could be grouped as noninflammatory lesions which included fluid filled lesions. Sixteen patients were found to have neoplasms of which 2 were benign (12.5%) and the rest (87.5%) malignant. Seminoma was the commonest malignancy encountered (71.4%). One patient with bilateral testicular mases was diagnosed as non-Hodgkins lymphoma by FNA. Further investigations revealed bilateral adrenal and pulmonary involvement. No complications were encountered except for mild transient local discomfort. Good patient compliance was obtained.

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