A case of xanthogranulomatous epididymitis complicated by florid testicular cystic ectasia
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Updated: Jun 2, 2025

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Gregory Apap Bologna1, David Pisani1, Cressida Gauci1
1Department of Surgery, Mater Dei Hospital, Malta.
Abstract:
Xanthogranulomatous inflammation (XGI) is a rare, benign inflammatory condition of unclear pathogenesis, characterised by infiltration and subsequent destruction of normal tissue by lipid-laden macrophages together with lymphocytes and plasma cells. A 56-year-old gentleman was referred to the urology department of our hospital due to concerns that his right testicle felt firmer than his left over the preceding six months. He was investigated and subsequently underwent a right sided orchidectomy. The overall histopathological findings were consistent with chronic xanthogranulomatous epididymitis with testicular outflow tract obstruction and cystic ectasia of the rete testis and testicular parenchyma.
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