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12

28

TH

CONGRESS OF THE ESPU

14:12–14:15

S1-8 (PP)

IMMUNOHISTOCHEMICAL PROFILE OF NORMAL

PREPUBERTAL TESTES

Kolja KVIST

1

, Erik CLASEN-LINDE

2

, Dina CORTES

3

and Jørgen THORUP

1

1) Rigshospitalet, Pediatric Surgery, Copenhagen, DENMARK - 2) Rigshospitalet, Pathology, Copenhagen, DENMARK

- 3) Hvidovre Hospital, Pediatrics, Hvidovre, DENMARK

PURPOSE

We recently showed that normal infantile testes stain positive for PLAP, C-kit, D2-40 and Oct ¾ up

till 2 years of age, thereby stretching the time for completion of their maturation, a finding contrary

to previous studies.

This naturally begot the question as to when they become negative. This study aims to answer part

of that.

MATERIAL AND METHODS

Biopsies were taken from 11 boys, ages 11.5 to 16 years (mean 13,5, median 13), operated either

on suspicion of torsion of the testes or intermittent torsion.

The biopsies were processed for histology, cut into 4μm sections and mounted on coated slides.

One slide was processed for H-E, and the others incubated with primary antibody for PLAP, C-Kit,

D2-40 and Oct3/4.

RESULTS

Age

years

Diagnosis

PLAP

dxt/sin

C-Kit

dxt/sin

D2-40

dxt/sin

Oct ¾

dxt/sin

11,5

intermittent

pos/pos

pos/pos

neg/neg

neg/neg

12,5

torsio dxt

pos/ -

pos/ -

neg/ -

neg/ -

14

torsio dxt

pos/ -

pos/ -

neg/ -

neg/ -

15

torsio dxt

-/ pos

- / pos

- / neg

- / neg

15

torsio dxt

pos/ pos

pos/ pos

neg/ neg

neg/ neg

13

torsio sin

neg/ neg

neg/ neg

neg/ neg

neg/ neg

16

torsio sin

neg/ -

neg/ -

neg/ -

neg/ -

13

intermittent

pos/ neg

pos/ neg

neg/ neg

neg/ neg

12

intermittent

pos/ pos

pos/ pos

neg/ neg

neg/ neg

15,5

intermittent

pos/ pos

pos/ pos

neg/ neg

neg/ neg

11,5

intermittent

pos/ pos

pos/ pos

neg/ neg

neg/ neg

CONCLUSIONS

To our knowledge, this is the first presentation of positive staining for PLAP and C-Kit in normal

pre-pubertal testes.

It attenuates that the maturation of germ cells is an ongoing process that apparently is not complete

before puberty.