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.