#spermatism

[tjgylongk]

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[t4tails]

spermatic

#og post #i was checking to make sure i used that word right and. spermatic...

[wuffgang-ameowdeus-moozart]

capybaras be like:

testosterone >> sperm

and that is honestly so correct of them. what an icon.

#for context #they have more testosterone-producing tissue #than spermatic tubules #that is honestly so #ace-coded #and trans-coded #of them <3 #CAPYBARA

[jcrmhscasereports]

Myxoid liposarcoma of the spermatic cord: A rare entity by Emmanuel E. Sadava in Journal of Clinical Case Reports Medical Images and Health Sciences 

ABSTRACT

An 81-year-old man consulted at our hospital for evaluation of a long-established left inguinal mass. The patient denied experiencing pain, food intolerance, constipation or urinary tract symptoms in the past. A physical examination revealed a 15x10cm painless mass in the left inguinal region, distinct from the testicle, with no palpable changes during Valsalva´s maneuver. Magnetic resonance imaging (MRI) showed a 79mm heterogeneous lesion of the spermatic cord which projected itself through the inguinal canal into the scrotal sac, displacing the testis inferiorly. Laboratory testings were negative for testicular tumor markers such as α fetoprotein and human chorionic gonadotropin-β. A surgical resection of the inguinal tumor with an “en-bloc” inguinal orchiectomy was performed. The inguinal floor was repaired with a modified Bassini technique without the use of a mesh. The histopathological report confirmed findings were consistent with a myoxid liposarcoma. No further treatment was indicated and the patient continued follow-up with bi-annual MRIs. 18 months later, the patient continues with no signs of recurrence.

Key words: liposarcoma, liposarcoma of the spermatic chord, abdominal wall surgery, inguinal mass.

INTRODUCTION

Sarcomas constitute a heterogeneous group of rare solid tumors of mesenchymal cell origin. Collectively they account for approximately 1% of all adult malignancies with an annual incidence of 2.5 cases per million population[1]. In adults, the most common soft tissue sarcomas are liposarcomas. Overall, they account for approximately 17% of all soft tissue sarcomas. Most cases arise from de novo, therefore, the development from a preexisting benign lipoma is rare. Liposarcomas usually appear as a slowly enlarging, painless mass in a middle-aged person with a slightly higher incidence in men.

These tumors are classified in three main biologic forms: 1) well-differentiated liposarcoma; 2) myxoid and/or round cell; and 3) pleomorphic. The latter being a rare high-grade with a high recurrence rate and poor prognosis. The well-differentiated and myxoid types have favorable prognoses. However these tumors locally recur after incomplete excision[2].

The anatomic site of the primary disease represents an important prognostic factor, influencing treatment and outcome. Extremities (43%), the trunk (10%), visceral (19%), retroperitoneum (15%), or head and neck (9%) are the most common primary sites. Scrotal location is relatively rare, accounting for 3.6% of all liposarcomas. The origin of intra scrotal liposarcomas include the spermatic cord (76%), testicular tunic (20%), and the epididymis (4%).

CASE REPORT

An 81-year-old man with a medical history of follicular cutaneous lymphoma and an open left hemi-colectomy for colon cancer consulted at our hospital for evaluation of a long-established left inguinal mass. The patient denied experiencing pain, food intolerance, constipation or urinary tract symptoms in the past. A physical examination revealed a 15x10cm painless mass in the left inguinal region, distinct from the testicle, with no palpable changes during Valsalva´s maneuver. Magnetic resonance imaging (MRI) showed a 79mm heterogeneous lesion of the spermatic cord which projected itself through the inguinal canal into the scrotal sac, displacing the testis inferiorly (Figure 1). Laboratory testings were negative for testicular tumor markers such as α fetoprotein and human chorionic gonadotropin-β. Ultrasound-guided biopsies of the mass were requested and their histopathology analysis revealed myxoid stroma with fusocelular proliferation.

A radical resection was suggested but, a week prior to the surgical procedure, the patient was diagnosed with COVID infection during which he intercurred with myocardial infarction and ischemic stroke. He underwent a double coronary angioplasty with drug-eluted stents and required anticoagulation and antiplatelet therapy posteriorly. The case was discussed at a multidisciplinary meeting and a conservative management of the inguinal tumor was decided. The patient was reassessed 12 month later with a new MRI, which showed the inguinal mass increased in size (99mm) compared to the previous study, and a computed tomography (CT) with no evidence of metastatic disease. A surgical resection of the inguinal tumor with an “en-bloc” inguinal orchiectomy (Figure 2) was performed. The inguinal floor was repaired with a modified Bassini technique without the use of a mesh. The patient had an uneventful recovery and was discharged from the hospital on postoperative day two.

The histopathological report confirmed a 130x120x120mm low-grade fibro myxoid neoplasm (Figure 3). The surgical margins were negative. Immunohistochemistry showed strong reactivity for S100 and vimentin, whereas SOX10, desmin, CD34 and estrogen receptors were negative. These findings were consistent with a myoxid liposarcoma. No further treatment was indicated and the patient continued follow-up with bi-annual MRIs. 18 months later, the patient continues with no signs of recurrence.

Figure 1: Pelvis MRI T2 axial and coronal images illustrating a left inguinal canal soft tissue density measuring 78 x 68mm.

Figure 2: A Intraoperative image of the liposarcoma. Left inguinal surgical approach with the spermatic cord lesion and left testicle in vivo. B: Intraoperative image of left inguinal mass (a) excision with radical orchiectomy (o).

Figure 3: A Hematoxylin and eosin staining: fusocelular and myxoid infiltrative neoplastic proliferation, made up of ovoid cells and finely granular chromatin. Scarce elongated cytoplasm arranged in fascicles accompanied by elongated, thin, curvilinear blood vessels with zones of perivascular cellular condensation. B: Immunohistochemistry positive for S-100.

DISCUSSION

Liposarcomas invade through local extension and rarely invade through the lymphatic route, making regional lymph node dissection lose its value and having no impact on survival. Nevertheless, high-grade subtypes are associated with high rates of recurrence and hematogenous spread; lungs, liver and peritoneum being the most common sites of metastasis.  Surgical resection (with appropriate negative margins: >1cm) is the standard primary treatment in most patients with stromal cell sarcomas. Complete tumor resection is the primary prognostic factor for local recurrence, and liposarcomas are not the exception. Performing an “en-bloc” resection involving a high orchiectomy (including the surrounding tissue) is important to obtain negative margins [1].

Local recurrence rates for sarcomas, including liposarcomas of the spermatic cord, have been reported to be as high as 30-50%. Because of this, and despite the patient’s disease-free status, long term follow-up remains a crucial step in the detection of recurrences that might still be potentially curable. Current controversy arises on the use of adjuvant chemotherapy or radiotherapy. Being a rare and infrequent entity makes it hard for a single institution to accumulate enough cases to perform prospective randomized controlled trials. Extrapolated data from retrospective analyses support the use of adjuvant radiation on selected high-risk situations (tumor recurrence, high-grade tumors or residual disease). Concerning the role of chemotherapy, the use of adjuvant chemotherapy remains controversial and there is no definitive role in the management of localized liposarcomas[3].

In conclusion, myxoid liposarcomas of the spermatic cord are infrequent entities. As most soft tissue sarcomas, they have an indolent course and should be considered as a differential diagnosis of inguinal masses with no palpable changes during Valsalva´s maneuver. Complete surgical resection with high-orchidectomy “en-bloc” is encouraged.

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

#liposarcoma #liposarcoma of the spermatic chord #abdominal wall surgery #inguinal mass #Magnetic resonance imaging #epididymis #MRI #histopathology #Emmanuel E. Sadava #jcrmhs

[awly0hifipcif]

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[qmwzv91n4iunoe]

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[hkjdx9ter]

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[x9lf0omhhphaz4]

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[transmascissues]

your hormonally induced clitoromegaly will NEVER be a real penis. stop calling it that.

where are your testicles? where is your scrotum? where is your shaft? where are your glans? where is your frenulum? where is your spermatic cord? where is your prostate? exactly. you don't have any of these anatomical structures. because you don't have a penis.

and enlarged clitoris is not a penis. forearm tissue transplanted onto your pelvis is not a penis. stop lying.

well first of all, i’m not sure who told you that dicks and balls are the same thing, but i’m here to tell you that having balls is not a requirement for having a dick. you can in fact have one of them without the other.

second of all, i’m so sorry to break this to you but i’m afraid you just don’t know shit about how bodies work. surprise! clitorises, with or without t, also have a shaft and glans. you just don’t know how anatomy works!

and as for everything else, i would love to know you why you feel the need to know! maybe no one ever told you this but turning a stranger’s dick into a game of where’s waldo is weird as hell. i’d love to have a word with whoever raised you because i know they didn’t teach you to talk to strangers like that.

in conclusion, if someone else’s dick makes you that mad, you have some soul searching to do because the existence of my dick and what i call it should not matter to you. it has absolutely no affect on your life and i would highly suggest you try spending your time caring about literally anything else instead.

#do y’all see this shit. who the fuck raised these people #anon hate #examples of transandrophobia #transandrophobia #transandromisia #transmisandry #virilmisia #virilphobia #anti transmasculinity #transmascphobia #trans men #transmascs

[talonabraxas]

The Magus of the Eternal. The Oracle of the Gods is the Child-Voice of Love in Thine Own Soul; hear thou it. Heed not the Siren-Voice of Sense, or the Phantom-Voice of Reason: rest in Simplicity, and listen to the Silence. –Aleister Crowley

The Tarot Hierophant, called “the Magus of the Eternal” by Crowley, is the Qabalistic Path of Vau. The Hebrew letter Vau means Nail or Hook, and is the 16th path, on the Tree of Life. Leading from the 2nd Sephiroth Chokmah (wisdom) down to the 4th Sephiroth- Chesed (mercy) and is known as the Eternal Intelligence, a name assigned to this ATU by Dr. Case. The Path of Vau is the uppermost path on the Pillar of Mercy (Right hand Path). In the Golden Dawn texts, this path is described as, “The Zodiac acting through Taurus upon Jupiter". Here, Chokma is Jupiter, and his action is the spermatic potential of the Manifested Universe- Chesed, the Yod of Microcosm (Microprosopus), is the Father in Manifestation, while Chokmah (the Yod of the Macrocosm (Macroprosopus) is the Supernal Father. The Path of Vau is therefore, the Wisdom Path of the Holy Guardian Angel and/or Higher Soul, the lower Soul is the Rauch.

V: The Hierophant Talon Abraxas

[mcytblrconfessions]

Yeah so I just watched a 14min video to figure out wtf happened to tommyinnit’s balls and I hate myself and everything and so now I’ll explain for the masses.

Tommy had what’s called spontaneous testicular torsion, a very painful condition where the testicle rotates and twists the spermatic cord, cutting off blood supply. It is an emergency in almost all cases as it can cause severe damage and tissue death, requiring surgery to remove the affected testicle, so they had him sent to a specialist in an ambulance. He has a congenital abnormality that makes him very prone to testicular torsion, he did not name it but it’s likely bell clapper deformity.

It likely twisted and untwisted in his sleep and he’s okay, doesn’t need emergency surgery, but he will need surgery soon to try and fix it or may need emergency surgery if it happens again.

He talked all about it on stream and is joking about it with Tubbo.

Pray for tommyinnit’s balls 🙏

okay thank you no more tommyinnit balls asks please

#not a confession #mod response #cc: tommyinnit

[sometimes-men-need-help-too]

Testicular Torsion

During testicular torsion a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, the loose bag of skin under the penis that contains the testicles. The reduced blood flow causes sudden and often severe pain and swelling.

Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth.

Testicular torsion usually requires emergency surgery. If treated quickly, the testicle can usually be saved. But when blood flow has been cut off for too long, a testicle might become so badly damaged that it has to be removed.

Symptoms:

Signs and symptoms of testicular torsion include:

Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles

Swelling of the scrotum

Abdominal pain

Nausea and vomiting

A testicle that's positioned higher than normal or at an unusual angle

Frequent urination

Fever

Young boys who have testicular torsion typically wake up due to scrotal pain in the middle of the night or early in the morning.

When to see a doctor:

Seek emergency care for sudden or severe testicle pain. Prompt treatment can prevent severe damage or loss of your testicle if you have testicular torsion.

You also need to seek prompt medical help if you've had sudden testicle pain that goes away without treatment. This can occur when a testicle twists and then untwists on its own (intermittent torsion and detorsion). Surgery is frequently needed to prevent the problem from happening again.

Causes:

Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.

It's not clear why testicular torsion occurs. Most males who get testicular torsion have an inherited trait that allows the testicle to rotate freely inside the scrotum. This inherited condition often affects both testicles. But not every male with the trait will have testicular torsion.

Testicular torsion often occurs several hours after vigorous activity, after a minor injury to the testicles or while sleeping. Cold temperature or rapid growth of the testicle during puberty also might play a role.

Risk factors:

Age. Testicular torsion is most common between ages 12 and 18.

Previous testicular torsion. If you've had testicular pain that went away without treatment (intermittent torsion and detorsion), it's likely to occur again. The more frequent the bouts of pain, the higher the risk of testicular damage.

Family history of testicular torsion. The condition can run in families.

Complications:

Testicular torsion can cause the following complications:

Damage to or death of the testicle. When testicular torsion is not treated for several hours, blocked blood flow can cause permanent damage to the testicle. If the testicle is badly damaged, it has to be surgically removed.

Inability to father children. In some cases, damage or loss of a testicle affects a man's ability to father children.

Prevention:

Having testicles that can rotate in the scrotum is a trait inherited by some males. If you have this trait, the only way to prevent testicular torsion is surgery to attach both testicles to the inside of the scrotum.

#mens rights #testicular torsion #mens health #psa

[utilitymonstergirl]

ya girl got NEUTERED yesterday

The pain has subsided quite a bit in just 24 hours, though it comes back a bit when I stand up for any length of time; still, I’m optimistic that I can go back to work on Thursday (and hopefully by then it’ll have warmed up enough that I don’t feel ice forming inside my nose)

I still have just as much of a libido, my precum is a lot stringier, but for now getting hard creates some internal pain as my spermatic cords get pissy that they’re not attached to anything anymore

Well, I’m excited to be teased as a neutered puppy, and to deadpan “I’m quite literally not” whenever anyone calls me ballsy

#transition notes

[bbeeew]

just finished TADC and honestly can I talk about the designs

Like besides kinger, Caine and zooble none of the characters really screamed that it was a gooseworx operated show.

This nothing against gooseworx themself or against the designs of the characters, infact I'm for it

Honestly I just think it's cool how they both have characters that don't tend to fit their usual spermatic unhinged, asymmetrical design while also having characters the we as a fan base will love because they are "on Brand"

Like I really enjoyed the characters design and of course it's made by gooseworx so it's bound to be good, but I thought it's rather interesting how they changed up the characters.

King is still my favorite cause he reminds me of that crescent moon guy from the ghost of the year and at the end of the darly boxman show

But thought I'd bring it up.

Edit: I am talking specifically the animated short videos (think Elaine gets adopted, Elaine the bounty hunter, rumino, darly boxman, and ghost of the year to name a few) and not their original songs, as I know some of those fit the TADC style. we haven't seen those types of sprites fully animated/articulated.

#Beeew rants #tadc #tadc kinger #tadc pomni #tadc jax #tadc caine #gooseworx #pomni #gangle #the amazing digital circus jax #jax #caine #zooble #ragatha #kinger

[amphibious-thing]

The reason why lesbian sex wasn’t illegal in England is because English sodomy law required penetration AND emission, or “Spermatic Injection”. So sodomy was legally impossible if there was no sperm involved. They did know that women could fuck each other.

#if you pull out its arguably a misdeaeener #queer history

[thewrathfulwitch]

Pyanepsia

Pyanepsia is a festival in honor to Apollo and Theseus (and perhaps Helios and the Horai). This festival was based around the panspermia, a mixture of beans and grains of many varieties, at the feast. It was in custom to tell myths and stories of Theseus.

The panspermia is founded by Theseus. He had just returned from slaying the Minotaur and wished to pay his respects to Apollo. They brought together what was left of the provisions and gave it to Apollo as an offering for his blessing for safe passage from Delos to Attica.

During Pyanepsia, boys would go around the cities chanting the eiresone song while carrying the eiresone (an olive or a laurel branch preferable, with any other fruit branch as a substition, winding the branch with unspun threads of white or purple wool and attaching pastry and fruits (especially figs) to it). There was a gift at each house they visited on this day, the eiresone being seen hung above door ways.

Hold a feast with panspermia present. Burn some for Apollo in offering, offering it to him. Avoid meat at this feast, sticking to rich bread and wine. Reading hymns to Apollo and stories of Theseus are in order as well.

Fumigation from Manna Blest Pæan, come, propitious to my pray'r,

illustrious pow'r, whom Memphian tribes revere,

Slayer of Tityus, and the God of health,

Lycorian Phœbus, fruitful source of wealth .

Spermatic, golden-lyr'd, the field from thee

receives it's constant, rich fertility.

Titanic, Grunian, Smynthian, thee I sing,

Python-destroying, hallow'd, Delphian king:

Rural, light-bearer, and the Muse's head,

noble and lovely, arm'd with arrows dread:

Far-darting, Bacchian, two-fold, and divine,

pow'r far diffused, and course oblique is thine.

O, Delian king, whose light-producing eye

views all within, and all beneath the sky:

Whose locks are gold, whose oracles are sure,

who, omens good reveal'st, and precepts pure:

Hear me entreating for the human kind,

hear, and be present with benignant mind;

For thou survey'st this boundless æther all,

and ev'ry part of this terrestrial ball

Abundant, blessed; and thy piercing sight,

extends beneath the gloomy, silent night;

Beyond the darkness, starry-ey'd, profound,

the stable roots, deep fix'd by thee are found.

The world's wide bounds, all-flourishing are thine,

thyself all the source and end divine:

'Tis thine all Nature's music to inspire,

with various-sounding, harmonising lyre;

Now the last string thou tun'ft to sweet accord,

divinely warbling now the highest chord;

Th' immortal golden lyre, now touch'd by thee,

responsive yields a Dorian melody

All Nature's tribes to thee their diff'rence owe,

and changing seasons from thy music flow

Hence, mix'd by thee in equal parts, advance

Summer and Winter in alternate dance;

This claims the highest, that the lowest string,

the Dorian measure tunes the lovely spring .

Hence by mankind, Pan-royal, two-horn'd nam'd,

emitting whistling winds thro' Syrinx fam'd;

Since to thy care, the figur'd seal's consign'd,

which stamps the world with forms of ev'ry kind.

Hear me, blest pow'r, and in these rites rejoice,

and save thy mystics with a suppliant voice.

Orphic Hymn 33 to Apollo, trans. Taylor

#apollon #apollo #theseus #pyanepsia #helpol