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Case 51

Adenomatoid Tumour of Epididymis

A right scrotal mass

Ken Wong

This 46 year old male presented with a scrotal mass. Ultrasound was performed to assess this further.

Findings

A small solid lesion measuring 10 x 16 x 17 mm is located in the tail of the right epididymis. The right testicle is otherwise normal.

A: Sagittal US right testis - 13kb B: Transverse US both testes - 15kb

Diagnosis

Adenomatoid Tumour of Epididymis

Discussion

Extratesticular neoplasms are unusual and usually involve the epididymis. The most common neoplasm is the adenomatoid tumour representing 32% of tumours arising in paratesticular tissues. It is commonly found in patients aged 20-50, is generally unilateral, solitary, well-defined, oval in shape, and rarely measures > 5 cm in diameter. Other extratesticular tumours are rare and include cystadenomas, fibromas, haemangiomas, lipomas, leiomyomas, neurofibromas, cholesterol granulomas, and adrenal rests.

See also Case 52, a related case.

References

Rumak CM, Wilson SR, Charboneau JW (Eds). Diagnostic Ultrasound. Mosby Year Book, Inc (1991) p581

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© The Scottish Radiological Society
Author : Dr K Wong
Institution : Vancouver Hospital & Health Sciences Centre, B.C.
Date : 15th May 1997,
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