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Testes: Histology01:27

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A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
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[Normal tissue tolerance to external beam radiation therapy: testicles].

C Champetier1, E Gross, Y Pointreau

  • 1Service de Radiothérapie, Hôpital de la Timone, 264 rue Saint-Pierre, 13005 Marseille, France. c.champetier@live.fr

Cancer Radiotherapie : Journal De La Societe Francaise De Radiotherapie Oncologique
|April 27, 2010
PubMed
Summary

Radiotherapy, particularly for pelvic tumors, can significantly irradiate testes, risking male infertility. Semen preservation before treatment is recommended for adults and post-pubertal children to mitigate this risk.

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Area of Science:

  • Oncology
  • Reproductive Medicine
  • Radiation Oncology

Background:

  • Testes can receive significant radiation doses during pelvic tumor treatment in both adults and pediatric patients.
  • The exocrine function of the testes is particularly sensitive to radiotherapy.
  • Even low radiation doses pose a risk of male infertility.

Purpose of the Study:

  • To highlight the risk of testicular damage and infertility from radiotherapy.
  • To recommend strategies for fertility preservation in patients undergoing radiation therapy.
  • To emphasize the importance of informing patients about potential reproductive side effects.

Main Methods:

  • Review of existing evidence on testicular irradiation during pelvic radiotherapy.
  • Analysis of testicular sensitivity to radiation.
  • Discussion of fertility preservation options.

Main Results:

  • Significant testicular radiation exposure can occur during pelvic tumor treatment.
  • Radiotherapy poses a risk of sterility, even at low doses.
  • Semen cryopreservation is a viable option for fertility preservation.

Conclusions:

  • Semen self-preservation should be offered to adult and post-pubertal male patients before radiotherapy.
  • Fertility preservation in pre-pubertal boys requires careful consideration.
  • Minimizing testicular radiation dose while ensuring adequate tumor coverage is crucial.
  • Systematic patient and caregiver education on radiation-induced infertility risk is essential.