Soria Gondek A, Julià Masip V, Jou Muñoz C, Salvador Hernández H, Rovira Zurriaga C, Tarrado Castellarnau X. Adolescent Hydrocele Carrying a Surprise: A Case of Papillary Cystadenoma of the Epididymis.
Urology 2017;
112:172-175. [PMID:
29154985 DOI:
10.1016/j.urology.2017.10.040]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 10/25/2017] [Accepted: 10/28/2017] [Indexed: 10/18/2022]
Abstract
Papillary cystadenoma of the epididymis (PCE) is a rare benign epithelial tumor remarkable for its association with von Hippel-Lindau disease. A 12-year-old boy consulted for a progressive enlargement of the left testicle. At time of surgery, the whole epididymis was enlarged. Pathologic diagnosis was PCE with a focus on borderline malignancy. Scrotal left epididymectomy was performed. von Hippel-Lindau disease screening was negative. No relapse has been detected 2 years later. In case of atypical clinical examination of a hydrocele, unusual presentations such as PCE should be considered. The main differential diagnoses were adenomatoid tumor, nonpapillary cystadenoma, and metastatic clear cell renal carcinoma.
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