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Definition / general | Microscopic (histologic) description | Microscopic (histologic) images | Differential diagnosisCite this page: Jimenez R. Vasitis nodosa. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/testisvasitisnodosa.html. Accessed December 26th, 2024.
Definition / general
- Granulomatous condition of vas deferens that resembles spermatic granuloma of epididymis
- Usually post vasectomy or herniorrhaphy
- Occasionally associated with recanalization
Microscopic (histologic) description
- Proliferating ductules and dilated tubules containing spermatozoa in wall of vas deferens
- Also associated with small bundles of hyperplastic smooth muscle
- Vas deferens may show irregular thickening
- Ductules may connect with vas deferens (like diverticula or salpingitis isthmica nodosa but with inflammation and less smooth muscle hypertrophy)
- May see perineural or vascular invasion by proliferating ductules
Differential diagnosis
- Adenocarcinoma of epididymis and adenocarcinoma of rete testis: no history of prior surgery, no intraluminal spermatozoa