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Male Reproductive System
Pathology
Penile Diseases
1. Congenital malformations
 Hypospadias is Ventral orifice
 Epispadias is dorsal orifice
 Phymosis is small prepuce orifice
...
Penile Diseases
2. Inflammations
STDs
 Balanitis- Inflammation of the glans penis
 Orchitis- Is inflammation of one or both testicles
3. Tumors
 Benign : Condyloma accuminatum (HPV)
 Malignant
o Ca insitu ( bowen disease)
o Squamous cell Ca (HPV 16, 18)
Question!
13. Which is benign?
A. Condyloma accuminatum
B. Ca insitu
C. Squamous cell Ca
D. None
…
Testes and Epididymis
• Congenital : Cryptorchidism (clinical
importance??)
• Atrophy : causes and effects
• Inflammation : Epydidymo-orchitis
• Causes:
• Clinical features
• Testicular Torsion:
• Testicular Tumors
Causes of Scrotal Swelling
 Testicular tumors
 Testicular infections( mumps, TB)
 Testicular torsion
 Hernia
 Varicocele
 Hydrocele
Varicocele
 Is an enlargement of the veins in the testicles due to
an abnormal blood flow.
Hydrocele
 Is the presence of fluid in the scrotum, which function
is to allow testicular mobility and to absorb the shocks.
 A hydrocele is commonly caused by inflammation of
the testes.
Testicular Tumors
WHO Classification
Single Histogenic
Tumors(40%)
Seminomas (30%)
Teratoma
Embryonal Carcinoma
Yolk Sac Tumor
Choriocarcinoma
Sex cord Tumors
Combined
Tumors(60%)
MIXED
Seminoma
 Is the most common (30%)
 Age 20 – 30 years
 Clinically : painless lobulated swelling
 Histologically :
o Large clear cells with central Nuclei
o Fibrous stroma
o lymphocytic infiltrate
 Diagnosis
Seminoma
Disorders of Prostate
Prostatitis
o Acute bacterial
o Chronic bacterial
o Chronic abacterial
Benign Nodular Hyperplasia
Ca Prostate
BPH
 Very common in old males
Pathogenesis
 Increased DHT and estrogen
Clinically
 Urine retention
 Frequency, nocturia, UTI
 Bladder hypertrophy
Pathology
 Middle lobe nodularity,↑↑ glands +
fibromuscular stroma
…
BPH Ca Prostate
Prostate Ca
 Most common male cancer
 2nd causes of male cancer death
 65- 75 years
Pathogenesis
 Hormonal
 Environmental
 Genetic bases
Question!
14. Is the most common & 2nd causes of cancer death in female
A. Breast cancer
B. Lung cancer
C. Colorectal cancer
D. Prostate cancer
15. Is 1st causes of cancer death in female
A. Lung cancer
A. Colorectal cancer
B. Breast cancer
C. Cervical cancer
D. Skin cancer
Question!
16. Is the 1st causes of cancer death in male
A. Lung cancer
B. Prostate cancer
C. Colorectal cancer
D. Skin cancer
17. Is the most common & the 2nd causes of male cancer death
A. Prostate cancer
B. Lung cancer
C. Colorectal cancer
D. Gastric cancer
Question!
18. Is the 4th most common cancer among women globally
A. Breast cancer
B. Cervical cancer
C. Colorectal cancer
D. Lung cancer
Clinical /f
• local
• General
Pathology
Macro: ... Site . Shape , color ,..
Micro: Adenocarcinoma
URETHRA
PERIPHERAL
ZONE
NORMAL
BNH CARCINOMA
Diagnosis
• Clinical
• Radioolgical
• Lab
- routine
- FNA , true-cut, biopsy
- tumor markers
Prostatic biopsy
Male Reproductive by Dr. Balcha Nagawo (2).ppt

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Male Reproductive by Dr. Balcha Nagawo (2).ppt

  • 2. Penile Diseases 1. Congenital malformations  Hypospadias is Ventral orifice  Epispadias is dorsal orifice  Phymosis is small prepuce orifice
  • 3. ...
  • 4. Penile Diseases 2. Inflammations STDs  Balanitis- Inflammation of the glans penis  Orchitis- Is inflammation of one or both testicles 3. Tumors  Benign : Condyloma accuminatum (HPV)  Malignant o Ca insitu ( bowen disease) o Squamous cell Ca (HPV 16, 18)
  • 5. Question! 13. Which is benign? A. Condyloma accuminatum B. Ca insitu C. Squamous cell Ca D. None
  • 6.
  • 7. Testes and Epididymis • Congenital : Cryptorchidism (clinical importance??) • Atrophy : causes and effects • Inflammation : Epydidymo-orchitis • Causes: • Clinical features • Testicular Torsion: • Testicular Tumors
  • 8. Causes of Scrotal Swelling  Testicular tumors  Testicular infections( mumps, TB)  Testicular torsion  Hernia  Varicocele  Hydrocele
  • 9. Varicocele  Is an enlargement of the veins in the testicles due to an abnormal blood flow. Hydrocele  Is the presence of fluid in the scrotum, which function is to allow testicular mobility and to absorb the shocks.  A hydrocele is commonly caused by inflammation of the testes.
  • 10. Testicular Tumors WHO Classification Single Histogenic Tumors(40%) Seminomas (30%) Teratoma Embryonal Carcinoma Yolk Sac Tumor Choriocarcinoma Sex cord Tumors Combined Tumors(60%) MIXED
  • 11. Seminoma  Is the most common (30%)  Age 20 – 30 years  Clinically : painless lobulated swelling  Histologically : o Large clear cells with central Nuclei o Fibrous stroma o lymphocytic infiltrate  Diagnosis
  • 13. Disorders of Prostate Prostatitis o Acute bacterial o Chronic bacterial o Chronic abacterial Benign Nodular Hyperplasia Ca Prostate
  • 14. BPH  Very common in old males Pathogenesis  Increased DHT and estrogen Clinically  Urine retention  Frequency, nocturia, UTI  Bladder hypertrophy Pathology  Middle lobe nodularity,↑↑ glands + fibromuscular stroma
  • 16. Prostate Ca  Most common male cancer  2nd causes of male cancer death  65- 75 years Pathogenesis  Hormonal  Environmental  Genetic bases
  • 17. Question! 14. Is the most common & 2nd causes of cancer death in female A. Breast cancer B. Lung cancer C. Colorectal cancer D. Prostate cancer 15. Is 1st causes of cancer death in female A. Lung cancer A. Colorectal cancer B. Breast cancer C. Cervical cancer D. Skin cancer
  • 18. Question! 16. Is the 1st causes of cancer death in male A. Lung cancer B. Prostate cancer C. Colorectal cancer D. Skin cancer 17. Is the most common & the 2nd causes of male cancer death A. Prostate cancer B. Lung cancer C. Colorectal cancer D. Gastric cancer
  • 19. Question! 18. Is the 4th most common cancer among women globally A. Breast cancer B. Cervical cancer C. Colorectal cancer D. Lung cancer
  • 20. Clinical /f • local • General Pathology Macro: ... Site . Shape , color ,.. Micro: Adenocarcinoma
  • 22.
  • 23. Diagnosis • Clinical • Radioolgical • Lab - routine - FNA , true-cut, biopsy - tumor markers