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J Regadera

Publications and source records attributed to J Regadera.

At least 55 records · Page 3Linked to original sources
PubMed1986

Diverticula of the ductus epididymis in men.

The histological study of epididymides obtained from autopsies (41 children, 7 young adults and 8 elderly men) and surgical specimens (10 young adults and 3 elderly men) revealed the presence of multiple diverticula in the cauda epididymis in all elderly men and in only 2 young adults (32 and 33 years old). The diverticula appeared as evaginations of the epithelial lining of the duct, disrupting the muscular coat and expanding into the surrounding connective tissue. The formation of epididymal diverticula seems to be an age-related process that might be caused by repeated increases in the intraluminal pressure in the cauda epididymis.

Adolescent↗
PubMed1986

Malignant fibrous histiocytoma in a child's hand.

A 3-year-old girl had a 4-month history of a tumor in her right hand. The tumor was located in the subcutaneous and soft tissues of the palm and the long, ring, and small fingers. Histologic studies showed a malignant fibrous histiocytoma that was confirmed by the ultrastructural study as having a fibroblastic and histiocytic origin. The long, ring, and small fingers were amputated. The postoperative course was normal, and 18 months later no recurrence or metastases were observed.

Child, Preschool↗
PubMed1986

Postsurgical focal testicular infarct.

A 74-year-old man was surgically treated owing to incarcerated right inguinal hernia. Following surgery, he developed a focal hemorrhagic testicular infarct localized in the anterior pole of the right testis. The cause of the infarct seemed to bei either thrombosis or compression by edema of the veins draining the testis.

Aged↗
PubMed1986

Idiopathic peritesticular fibrosis associated with retroperitoneal fibrosis.

A 32-year-old male who presented with idiopathic retroperitoneal fibrosis developed peritesticular fibrosis 4 years later. The lesion appeared as a diffuse, uniform thickening without a tendency to form nodules. Histologic examination revealed a densely collagenized tissue with scattered cells, consisting mainly of fibroblasts and plasma cells. Small blood and lymphatic vessels of the tumor showed luminal dilation and perivascular edema with inflammatory infiltrates. No other associated pathology was found in the patient. We suggest that peritesticular fibrosis in this patient may be due to lymphatic drainage obstruction caused by retroperitoneal fibrosis.

Adult↗
PubMed1986

Changes in the connective tissue and decrease in the number of mast cells in the testes of men with alcoholic and non-alcoholic cirrhosis.

The testicular connective tissue of patients with alcoholic and non-alcoholic cirrhosis was studied by Picrosirius staining for collagen fibres and electron microscopy, and then compared with the connective tissue of normal testes. Under polarized light, the interstitial connective tissue in the testes of patients with alcoholic and non-alcoholic cirrhosis exhibited a green birefringence which did not appear in normal testes, and the orange birefringence characteristic of the tunica propria in the testes of both cirrhotic and normal males was less developed in cirrhosis. This suggests that a connective tissue, consisting of smaller and less ordered collagen fibre bundles than those in the tunica propria is formed in the testicular interstitium of cirrhotic males, and the collagen fibre bundles of the tunica propria are less developed than in normal testes. The appearance of connective tissue was associated with a decrease in the number of mast cells in the testes of cirrhotic males suggesting the involvement of mast cells in the synthesis, packing, and organization of collagen fibres. The cause of the decrease in mast cell numbers may be related to hormone alterations, in particular testosterone deficiency.

Adult↗
PubMed1986

[Mediastinal teratomas. A clinical and pathologic study of 3 pediatric cases].

Mediastinal teratomas are reported in three children. Two cases: an eighteen-month-old female and a twelve-years-old female, were diagnosed of mature cystic teratoma. Third patient was a twelve-year-old male with an immature mediastinal teratoma. All tumors were located in anterior mediastinum. Mediastinal mature cystic teratomas were completely excised and their evolution were favourable. However, immature mediastinal teratoma infiltrated lung parenchyma and great blood vessels; in this case only a biopsy was performed. This patient died a month after surgical procedure. Clinical, radiological and pathological findings of mediastinal teratomas in childhood are commented. Prognostic factors and evolution of different histological types of mediastinal teratomas are evaluated.

Child↗
PubMed1985

Cystic intra-abdominal testicular torsion in an infant.

We report on a 3-month-old infant with cystic intra-abdominal testicular torsion. He presented with abdominal distension and pain. Physical examination showed a movable, well delineated mass in the right iliac and lumbar fossae. Exploration revealed that the mass was connected to the abdominal aorta by a thin vascular cord that was twisted before reaching the mass. The histological study showed that the mass corresponded to a testis with cystic formations. The testicular parenchyma was necrotized, although isolated seminiferous tubules were found. The cystic cavities were filled by hematic and necrotic material, and exhibited no epithelial lining. A fibrous layer in continuity with interstitial hemorrhage surrounded the cysts. The twisted vascular cord corresponded to a spermatic cord with dilated pampiniform plexus veins. The differential diagnosis and the etiopathogenesis of the lesion are discussed.

Abdomen↗
PubMed1985

Testis, epididymis, and spermatic cord in elderly men. Correlation of angiographic and histologic studies with systemic arteriosclerosis.

Autopsy specimens of the testes, epididymides, and spermatic cords from 20 adult young and 60 elderly men were studied by angiographic and histologic techniques. Testicular alterations in elderly men were correlated to the degree of aortic atheromatosis. Elderly men without manifest atheromatosis showed no lesions. Elderly men with slight atheromatosis showed a spiculated outline of the testicular artery and intraparenchymatous zones with scarce filling of small arteries. These zones exhibited peritubular and interstitial fibrosis. Elderly men with severe atheromatosis showed large zones of the testicular parenchyma with scarce filling of centrifugal and centripetal arteries that exhibited fibrosis of the tunica intima and lumen reduction; the testicular parenchyma appeared fibrosed with sclerosed tubules. Epididymal lesions were parallel to testicular lesions. These results suggest that systemic arteriosclerosis is involved in the decline of testicular function with age.

Adult↗
PubMed1985

Ectopic seminiferous tubules in the tunica albuginea of normal and dysgenetic testes.

The histological study of testes obtained from 453 autopsies and 245 biopsies revealed seminiferous tubules in the testicular tunica albuginea of 9 children. Affectation was always unilateral. Three of these testes were associated with müllerian structures and were dysgenetic, showing a thin, insufficiently collagenized tunica albuginea, similar to the ovarian stroma. The other 6 testes corresponded to: 4 normal children, 1 child with idiopathic male pseudohermaphroditism without Müllerian structures, and another with unilateral inguinal cryptorchidism. In these 6 testes the tunica albuginea was histologically normal. These results suggest that the presence of seminiferous tubules in the tunica albuginea is not sufficient to diagnose testicular dysgenesis. Such a diagnosis may only be indicated if the tunica albuginea also exhibits the other characteristic features of dysgenetic testes.

Adolescent↗
PubMed1985

Quantitative distribution of Ig-containing cells in the normal human intestinal mucosa.

The Ig-containing cell population of human intestinal mucosa (jejunum and ileum) has been quantitatively studied in 15 normal healthy adult men, by means of the peroxidase-antiperoxidase (PAP) method. The resolution obtained using the PAP method improves that obtained by fluorescence microscopy methods. The results obtained revealed that the number of Ig-containing cells progressively decreases from the basal portion of mucosa to the tip of the microvilli. Most Ig-containing cells were plasma cells; however, stained precursor cells (immunoblasts) were also observed in the human intestinal mucosa. The epithelial lining of the intestinal mucosa was also stained by anti IgA, anti IgG, anti IgM and anti IgE antibodies. Plasma cells were not seen to cross the epithelium. The absolute values, expressed as the number of Ig-containing cells per "mucosal tissue unit" (a 6-micron-thick and 500 micron wide block of tissue, including the mucosa at full height from the muscularis mucosa), and the relative percentages of the different Ig-containing cell population were the following: IgA: 86.71 +/- 15.58 cells (48.52%); IgG: 52.30 +/- 19.01 cells (29.6%); IgM: 21.44 +/- 8.23 cells (12.0%); IgE: 14.70 +/- 6.60 cells (8.22%), and IgD: 3.54 +/- 1.05 cells (1.9%). The number of lambda chains (76.29 +/- 24.38; 56.07%) were slightly more abundant than that of chi chains (59.77 +/- 11.93; 43.92%). The differences between the mean values of different Ig-classes were significant, and the differences between lambda and chi chains were also significant.

Cell Count↗
PubMed1984

Histogenesis of adenomatoid tumour associated to pseudofibromatous periorchitis in an infant with hydrocele.

An 18-month-old infant with recurrent congenital hydrocele presented with a mass in the caput epididymis. The tumour and several fragments of the tunica vaginalis were removed and studied by light and electron microscopy. The tumour showed the characteristic histological pattern of an adenomatoid tumour of mesothelial origin. The histological appearance of the tunica vaginalis was not uniform; some areas resembled the adenomatoid tumour to the epididymis, others exhibited histological and ultrastructural features of a haemangioma, whilst elsewhere, the two patterns were intermingled. Finally, areas of pseudofibromatous periorchitis with vascular proliferation and slit-like structures lined by mesothelial cells were recognized. These features suggest that the adenomatoid tumour originated from a localized reactive process with inflammation and vascular proliferation enclosing occasional slit-like structures originating from the mesothelial lining of the tunica vaginalis. Subsequent regression of vascular proliferation and inflammatory infiltration and continued mesothelial proliferation would give rise to the typical mesothelial pattern of adenomatoid tumour.

Epididymis↗
PubMed1984

Obstruction of the tubuli recti and ductuli efferentes by dilated veins in the testes of men with varicocele and its possible role in causing atrophy of the seminiferous tubules.

Hormone measurements, spermiograms and testicular biopsies studies were performed in young with varicocele. In addition, the testes and epididymides of 27 adults with varicocele were obtained from autopsies. Light and electron microscopic examination of biopsy and autopsy specimens revealed two types of lesions in testes with varicocele: 1) a diffuse lesion consisting of abnormal spermatozoa and spermatid morphology and sloughing of immature spermatozoa and spermatid; 2) focal lesion, distributed irregularly throughout the testicular parenchyma, affecting several small groups of seminiferous tubules. Each of these groups corresponded to a testicular lobule and showed different degrees of tubular atrophy, so that the focal lesions were distributed in a mosaic pattern. The testicular interstitium showed dilated veins and venules, and progressive collagenization. Some testes showed dilated veins in the rete testis, which compressed several tubuli recti and caused tubular atrophy in the seminiferous tubules opening into these tubuli recti. Other testes showed dilated young veins among the ductuli efferentes, and the rete testis channels appeared to be dilated. Among the different etiological mechanisms which have been suggested to for testicular lesions in varicocele, tubular obstruction at the level of either the tubuli recti or the ductuli efferentes might be responsible for lesions leading to testicular atrophy.

Adolescent↗
PubMed1984

Cystic dysplasia of the testis. Light and electron microscopic study of three cases.

The testes of two premature newborns and a 9-year-old boy with cystic dysplasia were studied by light and electron microscopy. The histologic pattern of the three cases was similar, differing principally in the extension of the characteristic lesion. This consisted of multiple, anastomosing, irregular cystic spaces of varying sizes and shapes, separated by incomplete connective-tissue septa. The cysts were predominantly located in the mediastinum testis, and spread irregularly, displacing the testicular parenchyma, which was consequently compressed under the tunica albuginea. Electron microscopic examination revealed two types of epithelial cells (flattened and tall cells) lining the cystic spaces. These cells were similar to those lining the normal adult rete testis. Since the rete testis originates from the gonadal blastema, and the efferent ductules from the mesonephric ducts, an embryologic defect in the connection between both structures might be responsible for this lesion.

Child↗
PubMed1983

Elastic fibres of the human ductus deferens.

The distribution of elastic fibres in the human ductus deferens from birth to senility was studied by light and electron microscopy. Elastic fibres are lacking in the ductus deferens in infants and children. In the adult ductus deferens, they form two layers in the lamina propria: (1) an inner layer of circumferentially oriented elastic fibres, and (2) an outer meshwork of elastic fibres. Elastic fibres are also present in the narrow intercellular spaces between the smooth muscle cells of the muscular coat, mainly in the inner muscular layer. A layer of elastic fibres surrounds the muscular coat. The ductus deferens of ageing subjects shows fragmentation and disorganisation of the elastic fibre layers of the lamina propria. Elastic fibres in the muscular coat are more abundant than in younger adults, forming larger bundles. Electron microscopy demonstrated the presence of immature elastic fibres at puberty as collections of microfibrils, some of them containing loci of amorphous substance (elastin). In the adult ductus most elastic fibres have a mature appearance. The amount of amorphous substance has increased and the number of microfibrils has decreased. Electron-dense inclusions are present within the amorphous substance. With advancing age the amorphous substance forms large, structureless masses showing abundant electron-dense inclusions and areas of rarefaction. A thin layer of microfibrils is present only at the periphery of the elastic fibres. Whether or not androgenic hormones are in any way involved in the formation of elastic fibres in the ductus deferens and testis is something which requires further study.

Adolescent↗
PubMed1983

[Sacrococcygeal tumors. Experience of 42 cases].

From 1966 to 1981, at "La Paz" Children's Hospital, Madrid, 42 patients with ST were studied. We exclude 4 stillborn, the remaining 38 underwent 40 surgical operations, 69% in the first week of life. The aim of the study is to classify and organize from the clinical and pathological points of view the usual equivocal terminology. From a clinical point of view, sex, localization and age at diagnosis were the usually described for these tumors. The relationship of age with malignancy is pointed out. Special emphasis is made on the pathological information about undifferentiated blastodermic tissues, like neuroblasts pointing out their low influence in prognosis. 79% were mature teratomas and 21% malignant tumors (Yolk sac and embrional carcinoma).

Bone Neoplasms↗