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.

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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