Pathology of the Male Reproductive System Flashcards

1
Q
  • Infertility is difficult to _______ unless the cause can be readily _____ and __________
  • Determining the cause is where knowledge of disease ________, ________ to injury, and __________ are so important
  • Production ($$$) and companion animal ($$) species
A

reverse, found, corrected, processes, responses, prognoses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cryptorchidism
* ____________ descent of the testis and _________ structures into the ________
* Complete testicular descent usually occurs ______ to birth in most species, except in ____ (by ___ months of age)
* _________/genetic
* Retained testes can be anywhere from ______ to the kidney to the ______ inguinal
ring/subcutis
* Due to ______ intra-abdominal temperature > ______ and also degeneration/atrophy > lack
of _________
* _________ or _______ (infertility)
* Prone to develop ______ and ______
- Dogs: _____ cell tumor and _____
- Stallions: ______ and _________

A

Incomplete, associated, scrotum, prior, dogs, 3, Congenital, caudal, external, higher, Hypoplasia, spermatogenesis, Unilateral, bilateral, neoplasia, torsion, Sertoli, Seminoma, Seminoma, Teratoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
A

Bilateral cryptorchidism with unilateral Sertoli cell tumor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
A

Cryptorchidism
Sertoli cell tumor with testicular torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hypoplasia
* Defined as testes that have failed to grow to _______ size, detected right _____ puberty
* ________, low incidence in ?
* Is a ________ and/or ______ condition
* ____lateral or ____lateral
* Causes: ___________, ______ and _________ disorders (reduced production of ____
and ___).
* The best known example is __________ Syndrome (____) in ?

A

normal, after, Sporadic, bulls, rams, horses, boars, congenital, genetic, Uni, bi, Cryptorchidism, genetic, endocrine, LH, FSH, Klinefelter’s , XXY, tricolor male cat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Testicular hypoplasia
* ______ testes and __________ from this yearling ram are very ____ compared with normal age-matched controls
* The seminiferous tubules are lined only by ______ cells, and there is no _________

A

Both, epididymides, small, Sertoli, spermatogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
A

Testicular hypoplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
A

Normal testicular tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
A

Testicular Hypoplasia
Testicles/epididymis small but movable in the scrotum. Not apparent until puberty.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Testicular Degeneration and Atrophy
* Testes that reduce in ____ ____ puberty
* Most common cause of ________
* Secondary to a variety of insults: _______, _______ loss of blood flow, advancing ___,
_______therapy, ________ and _______ diseases (_____ important), _________, ________.
* Testes is small and firm (________), may be attached to scrotal ___. Epididymis more _________ in size or even ________.
*In young growing males, the distinction between testicular degeneration
and hypoplasia is often difficult. Both lesions are often present _______ because _________ testes are prone to degeneration.

A

size, after, infertility, Trauma, partial, age, chemo, epididymitis, scrotal, most, hormones, neoplasia

fibrosis, wall, normal, enlarged, together, hypoplastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

Testicular degeneration and atrophy
The affected testis (right) is small, and testicular veins are
not visible on the capsule of the testis because of fibrosis
and contraction of the connective tissue. The other testis
(left) is bulbous, indicating hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
A

Testicular degeneration and atrophy
Interstitial fibrosis that separates the seminiferous tubules, spermatogenic arrest, multinucleated spermatids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  • Hypoplasia - testicle _____ and _____ movable _____ scrotum. ________ also
    small and poorly developed. _________ condition.
A

small, freely, within, Epididymis, Irreversible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  • Degeneration/Atrophy - testicle ____, _____ and may be attached to scrotal ____.
    Epididymis more ______ in size or even ______. __________ is possible.
A

small, firm, wall, normal, enlarged, Regeneration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can be seen in the image below?

A

testicular hypoplasia (top) vs. degeneration/atrophy (bottom)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Orchitis
* True orchitis is _____. Usually associated with __________.
* Portals of entry:

A

rare, epididymitis
1. Hematogenous route: Brucella abortus in bulls, C. pseudotuberculosis and B.
ovis in rams, B. suis in boars, B. canis and Blastomyces dermatitidis in dogs.
2. Direct penetration (bite wound, foreign body)
3. Ascending infection - genito-urinary tract – most common: E.coli, Proteus sp.,
Staph/Strep, Histophilus sp., Actinobacillus seminis in rams
4. Peritoneal spread (Periorchitis): FIP in cats, any peritonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What condition can be seen below?
Causative agent?

A

Orchitis
Causative agent: Brucellosis - B. suis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

Brucellosis - B. abortus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
A

Necrotizing orchitis
B. suis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

Orchitis
B. canis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
A

Porcine - Glasser’s disease
Peritoneal spread - Periorchitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
A

Chronic Periorchitis and testicle degeneration/atrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Epididymal disorders
* Developmental: ________/________ and spermatic ________
* Inflammatory: Infectious (similar to _______) and non-infectious ( _________ granuloma)

A

Aplasia, hypoplasia, granuloma, orchitis, spermatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
A

Efferent ductules (Testicle – Epididymis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Epididymal disorders: Segmental Aplasia/Hypoplasia
- Most common in _____ and involves ____ and _____ of epididymis
- Usually _________
- Can lead to ____ pressure and secondary testicular _________
- Sperm ________ secondary to obstruction
- Can lead to sperm impaction due to obstruction, _______ (spermatocele) and/or ______
(Sperm granuloma)

A

bull, body, tail, unilateral, back, degeneration, impaction, dilatation, rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What can be seen in the images below?

A

Spermatocele (right)
Sperm granuloma (left)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Spermatic granuloma
* Epididymal _______ with __________ of spermatozoa to the interstitium > ________ response
- Congenital defect: Always in the epididymal _____ due to ____-ended ________
ductules
- _________ trauma
- Secondary to ________
^last two are ________ along the length of epididymis

A

rupture, extravasation, granulomatous, head, blind, efferent, Mechanical, epididimytis, anywhere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What condition can be seen below?

A

Spermatic granuloma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q
A

Spermatic granuloma
The mass of spermatozoa (right) in the interstitial connective tissue of the epididymis is surrounded by
macrophages and multinucleated giant cells (arrow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Epididymitis
* Usually ____lateral, _____ to _______
* Epididimytis > testicular __________ (__________ and ___________ of the
inflammation)
* Noninfectious causes
- _______, ________ and _______ obstructions with secondary sperm granuloma
* Infectious causes
- Ascending bacterial infection from genitourinary tract: ?
- Hematogenous - ?

A

uni, acute, chronic, degeneration, compression, extension, Trauma, congenital, acquired

Actinobacillus seminis.
H. somni in rams, E. coli, Proteus, etc.

Brucella sp. in a variety of animals. B. ovis and B. canis are
the most common

31
Q
A

Acute epididymitis in a dog

32
Q

What condition is pictured below?
What is the causative agent here?

Note the dramatic __________ of the epididymis (left upper and lower
portions of the image) and the adhesion of the ________ ________ ______ to
the _________ _______ _____ around the affected epididymis

A

Epididymitis
Brucella Ovis

Brucella Ovis
Note the dramatic enlargement of the epididymis (left upper and lower
portions of the image) and the adhesion of the parietal vaginal tunic to
the visceral vaginal tunic around the affected epididymis

33
Q
A

B. Suis – necrotizing epididymitis and orchitis

34
Q

Testicular tumors
* +++ ____, +/- _____, rare in other species
* Almost always _____
* There are no features that indicate the likelihood of ________ (spermatic cord, scrotal lymph node, or beyond)
* ______ cell tumor
* Interstitial (_____) cell tumor
* Germ cells: _________ and ________
* _____ cell tumor, ______ cell tumor and _________ can occur concomitantly

A

Dogs, horses, benign, metastasis, Sertoli, Leydig, Seminoma, teratoma, Sertoli, Interstitial, seminoma

35
Q
A

Testicular tumors

36
Q
A

Interstitial (Leydig) cell tumor
* Often tan to yellow‐orange, well‐demarcated, soft and spherical
* Cysts and hemorrhage are common

37
Q
A

Sertoli cell tumor
* Firm (abundant stroma), white and round to multilobulated
* Most common neoplasm in cryptorchid canine testicles

38
Q

Sertoli cell tumor
* Approximately 30% produce _________
- Feminization (________ syndrome): __________, penile and testicular ____, loss of _______
- Alopecia – bilateral _______ and _______pigmentation
- Bone marrow suppression – ?
- Prostatic disease - ?

A

estrogens, hyperestrogenism, Gynecomastia, atrophy, libido, symmetric, hyper, anemia, leukopenia and thrombocytopenia

squamous metaplasia (predispose to inflammatory changes)

39
Q
A

Sertoli cell tumor

40
Q
A

Seminoma

41
Q

Seminoma
* Derived from ________ cells of the testis (within the ___________ tubules)
* Neoplasms bulge from _____‐section, are _____ to ____, ______ and ____. Can be ________ within testicle.
* Tend to be more _______ and _______ potential cannot be predicted

A

germinal, seminiferous, cross, white, gray, glistening, soft, multicentric, invasive, metastatic

42
Q
A

Seminoma in a stallion with
metastases to splenic lymph nodes

43
Q

Teratoma
* ______ cell tumor
* __________ but seen most often in _______ stallions, _________ testicle
* Tumors can be ____, ____ to _____, and contain recognizable ?
* Usually ______

A

Germ, Uncommon, younger, cryptorchid, large, solid, cystic, hair, bone, mucus and teeth, benign

44
Q
A

Teratoma

45
Q

Pathology of Spermatic Cord
Varicocele
* Is the _________ of the spermatic veins in the _______ __________
* More common in ____ rams
* Cause is _________
* ________ of affected vessels is common
* Affect ____________ and lead to testicular __________

A

dilation, pampiniform plexus, older unknown, Thrombosis, thermoregulation, degeneration

46
Q
A

Varicocele
This extremely large varicocele (arrows) is larger than the testis. It is multinodular from large thromboses filling the dilated veins.

47
Q
  • Torsion of spermatic cord
    -__________ testicles
    -Testicles with ___________
  • Inflammation of spermatic cord (_________)
    -Most often follows ___________ of castration wounds
A

Cryptorchid, neoplasms, funisitis, contamination

48
Q

What condition can be seen below?

A

Testicular torsion

49
Q

Vesicular adenitis
* Common in the _____
* Readily diagnosed via rectal _______
* Chronic interstitial form – markedly ______ and _____
* Numerous infectious causes ?

A

bull, palpation, enlarged, firm

(Brucella, Staph/Strep., Mycoplasma sp., T. pyogenes)

50
Q
A

Vesicular adenitis

51
Q

Prostatitis
* ______, _____ dogs – Associated with prostatic _______ or squamous _______ (______ cell tumor)
* Ascending infection usually from _____ tract infection
- Coliforms (Proteus, E. coli, Staph/Strep)
* Prostatitis is also common with ________ _______ infection (hematogenous)
* Can compress _____ > ______ > ___________
* Can compress _____ > constipation
* Acute to chronic

A

Older, intact, hyperplasia, metaplasia, Sertoli, urinary, Brucella canis, urethra, LUTI, pyelonephritis, colon

52
Q
A

Prostate hyperplasia (symmetric)

53
Q
A

Prostatitis

54
Q

What condition can be seen below?

A

Prostatitis

55
Q
A

Compression of the colon by severe prostatitis

56
Q

Prostatic neoplasia
* Neoplasia in the prostate can arise from
- ________ epithelium (?)
- _________ epithelium (?)
* Usually in dogs greater than ___ years old
* Frequently _________ – especially to bone
* ______________ enlargement

A

Prostatic, ducts and acini, Urethral, urothelial, 10, metastasize, Asymmetrical

57
Q
A

Prostatic Carcinoma

58
Q
A

Prostatic Carcinoma
Cross section. Note the asymmetric enlargement. The focal white
areas are regions of necrosis within a gland that is enlarged by
neoplastic epithelial cells.

59
Q

Pathology of Penis and Prepuce
* Balanitis vs. posthitis vs. balanoposthitis
* Specific diseases:
- Equine coital exanthema –?
- Infectious balanoposthitis - ?
- Ulcerative posthitis in castrated rams - ?

A

Equine herpesvirus- 3
Bovine herpesvirus 1
Corynebacterium renale

60
Q
A

Ulcerative balanoposthitis
Equine coital exanthema – Equine herpesvirus- 3

61
Q
A

Infectious balanoposthitis in bovine – BHV-1

62
Q
A

Ulcerative posthitis in castrated rams – Corynebacterium renale

63
Q

Ulcerative posthitis in castrated rams – ?
* __________ (tendency of these animals to urinate within their prepuce)
* Diet rich in protein > urine has a high concentration of ______ > ________ breaks the urea down to ammonia, which is cytotoxic

A

Corynebacterium renale, Castration, urea, C. renale

64
Q
A

Habronemiasis in horses – Granulomatous balanoposthitis

65
Q
A

Penile Squamous cell carcinoma in horses

66
Q

Penile Squamous cell carcinoma in horses
* Arise from _____ and penis of _____ horses
* Equal frequency in _________ and __________ (>12 years)
* May arise from previous ?
* ________ to _______ tumors with areas of ulceration

A

sheath, older, stallions, geldings, papillomas caused Equus caballus papillomavirus type 2 (EcPV2), Medium, large

67
Q
A

Penile SCC

68
Q
A

Fibropapillomas of bulls

69
Q
A

Fibropapillomas of bulls

70
Q

Fibropapillomas of bulls
* Young bulls (_____ years)
* Bovine _______________
* ________ mass
* ______________ regression

A

1‐2 , papillomavirus – 1 and 2, Exophitic, Spontaneous

71
Q

Canine TVT
* Arises on the _____ or within the _____. They may be ____ or _____, _____ or _____
* Solid sheets of uniform (3) cells with large round ______ nuclei
* Transplants from one dog to another at _______ (______)
* _________ regression can occur, and most are sensitive to ______ with _________
* Metastasis occurs in up to ___% of cases and may involve the _______ ______ lymph nodes, ____ (from trauma and mechanical implantation), and multiple other organs

A

penis, prepuce, single, multiple, nodular, papillary

round, ovoid, or polyhedral, vesicular, intercourse, allograft

Spontaneous, chemotherapy, vincristine, 5, superficial inguinal , skin

72
Q
A

Canine TVT

73
Q
A

Scrotal mesothelioma