Abstract

A modified method has been devised which enables the pathologist to evaluate more efficiently the seminiferous tubules and to present a more detailed histological report on testicular biopsies in patients investigated for infertility. This basically involves the production of a diagrammatic representation of the actual biopsy onto a specifically designed reporting form: a detachable prismatic arm attached to an ordinary light microscope enables the pathologist to transfer an actual outline of each of the seminiferous tubules contained in the biopsy onto this form. The seminiferous epithelium and Leydig cells are scored using the method of Johnsen. This method was evaluated using 20 consecutive biopsies. Skill in its usage was quickly acquired and it has been found to be a more clinically acceptable way of histopathological reporting, further facilitating standardization and inter-laboratory comparison.

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