Male genitaltract 3


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Male genitaltract 3

  1. 1. Male Genital Tract Pathology-3 Dr.CSBR.Prasad, M.D.
  2. 2. Epididymitis CSBRP-July-2012
  3. 3. Granulomatous epididymitis
  4. 4. PenisCSBRP-July-2012
  5. 5. Congenital anomalies • Hypospadias • Epispadias • Phimosis • Paraphymosis CSBRP-July-2012
  6. 6. Hypospadias Epispadias• Malformations of urethral groove and urethral canal may create an abnormal opening. --ventral surface (hypospadias) --dorsal surface (epispadias)It may be associated with abnormalities in --descent of testes --malformation of urinary tractComplications: infections of urinary tract infertility CSBRP-July-2012
  7. 7. The catheter seen here is in a groove on the undersurface below the tip of the penis andenters the urethra. This abnormal opening is known as a hypospadias. Such an anomaly CSBRP-July-2012is not common but can lead to problems with urination and ejaculation.
  8. 8. The groove on the dorsal aspect of the penis extending from the urethral meatus is an abnormalitytermed epispadias. This is an uncommon anomaly of varying degrees of severity. When severe, it CSBRP-July-2012can lead to problems with urination and ejaculation.
  9. 9. InfalmmationsBalanoposthitisSpecific infections: syphilis, gonorrhea, chancroid,Granuloma inguinale, Herpes.Non-specific infections: Candida albicnas, Gardnerella,pyogenic bacteria CSBRP-July-2012
  10. 10. The glans penis surrounding the penile urethral meatus demonstrates erythema andexudate, typical for a balanitis. The retracted foreskin is also acutely inflamed, acondition called posthitis. Together, this inflammatory condition is known as CSBRP-July-2012balanoposthitis.
  11. 11. Syphilitic chancreCSBRP-July-2012 on the glans penis occurring
  12. 12. Condyloma accuminatum•HPV 6 & 11•Sexually transmitted•Most lesions occur in the coronal sulcus•Single / multiple sessile or pedunculated red papillaryexcrescences•Histologically acanthosis, hyperkeratosis, koilocytosis•They tend to recurr•No malignant potential•Giant condylomas are known as Buschke-Lowensteintumor CSBRP-July-2012
  13. 13. CSBRP-July-2012
  14. 14. CSBRP-July-2012
  15. 15. CSBRP-July-2012
  16. 16. CSBRP-July-2012
  17. 17. Large confluent 1 cm to 8 cm hyperpigmented warty nodules. CSBRP-July-2012
  18. 18. Large confluent 1 cm to 8 cm hyperpigmented warty nodules CSBRP-July-2012
  19. 19. CSBRP-July-2012
  20. 20. CSBRP-July-2012
  21. 21. Bowen’s disease•>35yrs•Shaft of the penis and scrotum•Solitary, thickened, gray white, opaque plaque with shallowulceration and crusting•On the glans it produces velvety lesion•Histologically: acanthosis, mitoses, dysplasia and other nuclearfeatures of malignancy•Dermo-epidermal margin is well demarcated.•Develops in to carcinoma•Bowenoid papulosis: younger age, HPV-16, resembles condyloma,No malignant potential CSBRP-July-2012
  22. 22. Bowenoid papulosis - Scrotum
  23. 23. CSBRP-July-2012
  24. 24. Squamous cell carcinoma – Penis •Correlation exists between circumcision and occurance of Ca •HPV 16 & 18 •Bowen’s disease •Others: smoking •Age: 40-70yrs •Morphology: glans and inner surface of prepuce near coronal sulcus, Papillary / flat •Verrucous carcinoma: WD scc, low malignant potential, locally invasive, rarely metastsizing CSBRP-July-2012
  25. 25. Here is a squamous cell carcinoma of the head of an uncircumcised penis. The neoplasm is reddish-tan with an ulcerated surface
  26. 26. This is a squamous cell carcinoma of the penis (penectomy specimen) that is a larger, reddish brown fungating mass
  27. 27. Papillomatous growth patternCSBRP-July-2012
  28. 28. Papillomatous growth patternCSBRP-July-2012
  29. 29. Penile squamous cell carcinoma involving the glans in a vegetant fashion
  30. 30. CSBRP-July-2012
  31. 31. CSBRP-July-2012
  32. 32. CSBRP-July-2012
  33. 33. Verrucous carcinoma
  34. 34. Bulbous expansions of verrucous carcinoma CSBRP-July-2012
  35. 35. Why these people are more prone for carcinoma of penis ? CSBRP-July-2012
  36. 36. E N D CSBRP-July-2012
  37. 37. Contact:Dr.CSBR.Prasad, M.D.,Associate Professor of Pathology,Sri Devaraj Urs Medical College,Kolar-563101,Karnataka,INDIA.CSBRPRASAD@REDIFFMAIL.COM