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Giant Müllerian duct cyst mimicking prostatic malignancy
M Sanchez-Chapado1, J C Angulo
1Department of Urology, Hospital Principe de Asturias, Universidad de Alcalá de Henares, Madrid, Spain.
Scandinavian Journal of Urology and Nephrology
|June 1, 1995
Summary
A giant müllerian duct cyst was misdiagnosed as a seminal vesicle cyst. Intraoperative vasography confirmed the correct diagnosis, leading to successful surgical treatment without malignancy.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Müllerian duct cysts are rare congenital anomalies in males.
- Misdiagnosis can occur due to similar presentations with other pelvic cystic lesions.
Observation:
- A giant müllerian duct cyst was initially misinterpreted as a seminal vesicle cyst.
- Elevated tumor markers and pubic bone lysis raised suspicion for associated prostatic malignancy.
Findings:
- Intraoperative vasography provided the definitive diagnosis, differentiating the cyst from seminal vesicle pathology.
- Surgical specimens revealed no evidence of malignancy, despite initial concerns.
Implications:
- Accurate diagnosis of müllerian duct cysts is crucial for appropriate management.
- Vasography can be a valuable tool in diagnosing complex pelvic cystic lesions.
- This case highlights the importance of considering rare differential diagnoses in urological conditions.