Störungen der Hodenfunktion

  • C. E. Hedinger
  • G. Dhom
Part of the Spezielle pathologische Anatomie book series (SPEZIELLE, volume 21)

Zusammenfassung

Folgt man dem Einteilungsschema älterer Darstellungen der Hodenpathologie, so stößt man nach dem Abschnitt über die Mißbildungen und Entwicklungsstörungen fast regelmäßig auf die Schilderung degenerativer Prozesse, insbesondere der verschiedenen Formen der Hodenatrophie, an die sich die Ausführungen über Hodenentzündungen und Hodentumoren anschUeßen. Auch OBERNDORFER (1931) hält sich in seinem Handbuchartikel über die Erkrankungen der inneren männlichen Geschlechtsorgane an diese Ordnung. Diese entspricht aber, was die gestörten Hodenfunktionen anbelangt, nicht mehr ganz den heutigen Bedürfnissen. Der behandelnde Arzt erwartet ja vom Pathologen, besonders was die Hodenbiopsien anbelangt, eine Interpretation der Ursachen der testikulären Insuffizienz und damit auch der Prognose der Hodenveränderung, nicht einfach eine nüchterne Feststellung des Grades einer Hodenatrophie und damit einer Diagnose, die sich ja meist als mehr oder weniger ausgeprägte tubuläre Hodenatrophie mit oder ohne Beteiligung der Leydig-Zwischenzellen zusammenfassen läßt. Ich halte mich daher im vorhegenden Abschnitt an Einteilungsschemata, die vor allem von der Ursache oder Pathogenese der gestörten Hodenfunktion ausgehen wie z. B. dasjenige von LABHART (1986) und damit den Bedürfnissen des Klinikers, aber auch des Pathologen, der sich mit Hodenbiopsien befassen muß, besser entsprechen. Dabei lassen sich Wiederholungen, was die morphologischen Hodenveränderungen bei den einzelnen Krankheitsformen anbelangt, nicht umgehen. Auch gewisse Überschneidungen mit den Ausführungen in den Kapiteln über Mißbildungen und Entwicklungsstörungen, Kreislaufstörungen und Entzündungen sind unvermeidhch. Die mit Störungen der Genitalentwicklung einhergehenden Hodenveränderungen werden im 2. Kapitel besprochen.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • C. E. Hedinger
    • 1
  • G. Dhom
    • 2
  1. 1.Institutes für PathologieUniversität ZürichZürichSchweiz
  2. 2.Universität des Saarlandes, HomburgHomburg/SaarBundesrepublik Deutschland

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