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[Paratesticular adenomatoid tumor, presentation as epididymal pain]
M Medina Pérez1, M Sánchez González
1Servicio de Urología y Anatomía Patológica, Hospital de la Merced, Osuna, Sevilla, España.
Objective:
To describe an additional case of adenomatoid tumor of the epididymis.
Methods/Results:
A 55-year-old man consulted for epididymal pain. Palpation and ultrasound evaluation disclosed an epididymal tumor. The patient underwent orchidectomy; histological examination of the surgical specimen confirmed an adenomatoid tumor.
Conclusions:
Adenomatoid tumor of the epididymis is an uncommon tumor of the paratesticular tissue. Although its etiopathogenesis remains unclear, there appears to be a mesothelial involvement. Ultrasound evaluation and clinical examination are essential in making the preoperative diagnosis. It is a benign tumor and surgical excision can achieve cure. If the intraoperative frozen section is found to be benign, the tumor can be excised or enucleated without semicastration.