inguinal glandular inclusions
Image Gallery
[ (||image_reduire{0,60}|inserer_attribut{alt,Glandular inclusion in inguinal hernia sacs}) ] [ (||image_reduire{0,60}|inserer_attribut{alt,Glandular inclusion in inguinal hernia sacs}) ]
Glandular inclusions in inguinal hernia sacs have resemblance to the epididymis or vas deferens. Most of hernia sac inclusions, we thought were Mullerian duct-derived structures.
Types
CD10- vas deferens-like
CD10 +/- epididymis-like
CD10- Mullerian-like
external diameter <1 mm
Differential diagnosis
transected vas deferens
- CD10+
- external diameter > 1 mm
Immunochemistry
inguinal hernia sac glandular inclusions are CD10-
- CD10+ in Wolffian-type epithelium
- CD10- in Mullerian-type epithelium
References
Cerilli LA, Sotelo-Avila C, Mills SE. Glandular inclusions in inguinal hernia sacs: morphologic and immunohistochemical distinction from epididymis and vas deferens. Am J Surg Pathol. 2003 Apr;27(4):469-76. PMID: #12657931#
Gomez-Roman JJ, Mayorga M, Mira C, Buelta L, Fernandez F, Val-Bernal JF. Glandular inclusions in inguinal hernia sacs: a clinicopathological study of six cases. Pediatr Pathol. 1994 Nov-Dec;14(6):1043-9. PMID: #855006#
Walker AN, Mills SE. Glandular inclusions in inguinal hernial sacs and spermatic cords. Mullerian-like remnants confused with functional reproductive structures. Am J Clin Pathol. 1984 Jul;82(1):85-9. PMID: #6741877#