1/36. Testicular cysts: management and literature review.Simple testicular cysts are extremely rare; only 20 cases have been reported in the literature. Sites include the tunica albuginea, tunica vaginalis, and testicular epidermis. Conservative enucleation is an effective treatment for these lesions once ultrasound examination establishes that the mass is cystic. Such Enucleation salvages testicular tissue. In the cases discussed, two patients were initially evaluated for vague testicular discomfort and one patient for male infertility. All were subsequently found to have benign testicular cysts. All the cysts were excised, and all patients remain disease-free. Included is a case series report of simple testicular cysts and a review of the literature.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |
2/36. Fibrous pseudotumor of tunica vaginalis and epididymis.Paratesticular fibrous pseudotumors are rare, and less than 10% of them affect the epididymis. We report a case of testicular trauma that progressed to a painless palpable tumor in the right hemiscrotum with increased local volume. orchiectomy followed by anatomic-pathologic examination revealed a paratesticular fibrous pseudotumor. The best treatment is scrotal exploration and frozen biopsy. On confirmation of the diagnosis, only the tumor and the tunica vaginalis are resected. Should the benign nature not be possible to determine, orchiectomy is the procedure of choice. We also reviewed published reports for this possibility in the differential diagnosis of testicular masses.- - - - - - - - - - ranking = 2.5keywords = tunica (Clic here for more details about this article) |
3/36. A case of testicular tunica albuginea cyst with psammoma body.Cystic testicular masses have been considered rare but due to advances in ultrasonographic technologies their incidence has risen. Many testicular cystic masses are benign but there is a chance of malignancy. Psammoma bodies are found in various malignancies that occur in the genital tract of women but rarely in men. We report a case of testicular tunica albuginea cyst with psammoma bodies.- - - - - - - - - - ranking = 2.5keywords = tunica (Clic here for more details about this article) |
4/36. Torsion of a benign cyst arising from the tunica vaginalis testis.We describe a rare case of torsion of a benign cyst originating from the parietal layer of tunica vaginalis. This case presented with acute scrotum. Surgical exploration revealed a cyst arising from the parietal layer of tunica vaginalis of which the pedicle was twisted. When a cystic mass is detected in the scrotum of boys with acute scrotum, torsion of a cyst in the cavum tunica vaginalis testis should be considered.- - - - - - - - - - ranking = 3.5keywords = tunica (Clic here for more details about this article) |
5/36. cysts of the tunica albuginea. Report of 4 cases and review of the literature.Four cases of benign testicular cysts arising from the tunica albuginea are reported. A review of the literature yielded only 4 more instances of such lesions. Clinically, these cysts may be manifested as a tumor or painful swelling, or are discovered incidentally. In 3 cases a diagnosis of testicular carcinoma was entertained and high inguinal orchiectomies were done. The possibility of a conservative surgical approach, as followed in 1 case, is discussed. These cysts appear in the anterior and lateral aspects of the testis, show ample connection to the albuginea and are lined by a cuboidal epithelium. Gland-like inclusion were found in the fibrous cystic walls and in the albuginea. The histogenesis of these lesions is discussed and evidence for a possible origin in mesothelial rests trapped during development is presented. The differential diagnosis of cystic lesion of the tests is reviewd briefly.- - - - - - - - - - ranking = 2.5keywords = tunica (Clic here for more details about this article) |
6/36. Testicular sparganosis in a child from uruguay.A patient 9 years old had a painless tumor in the left testicle. The left testicle measured about 5 cm long and about 3 cm wide and was stony hard in part. From an echographic image, the patient was diagnosed to have a hematoma in the left testicle. The left testicle was surgically removed. From histological observations, burrows were surrounded by numerous eosinophils in the testicle, epididymis and tunica vaginalis. Cross sections of spargana were in the burrows. Severe granulomatous orchitis and epididymitis were around the burrows. This case was the second one of human sparganosis in uruguay.- - - - - - - - - - ranking = 0.5keywords = tunica (Clic here for more details about this article) |
7/36. cysts of the tunica albuginea.The authors report 3 cases of cysts of the tunica albuginea. Scrotal ultrasonography facilitates preoperative diagnosis and helps to avoid orchiectomy or to prevent unnecessary surgery.- - - - - - - - - - ranking = 2.5keywords = tunica (Clic here for more details about this article) |
8/36. Benign cystic lesion of the tunica albuginea: a case report.We describe a patient whose testicular parenchyma was displaced by a cyst. Histologic findings suggested that the cyst was a dilated efferent ductule passing through the tunica albuginea. Such a cyst is an important and benign consideration in the differential diagnosis of testicular masses. Although orchiectomy was performed in this case, early consideration and confirmation of benign lesions may permit testicular preservation.- - - - - - - - - - ranking = 2.5keywords = tunica (Clic here for more details about this article) |
9/36. Macro-orchidism: light and electron microscopic study of four cases.A hormonal and quantitative light microscopy study of one man with macro-orchidism associated with mental retardation and fragile x chromosome (case no. 1) and three men with idiopathic macro-orchidism (cases no. 2 to 4) is reported. Hormonal study revealed slightly increased follicle-stimulating hormone serum levels in cases no. 1 to 3. The testes from cases no. 1 (orchidoepididymoectomy specimen) and 2 (testicular biopsy) presented interstitial edema and three different tubular patterns that were arranged in a mosaic-like manner. Type I tubules had an increased diameter (less than 220 microns), dilated lumen, and thin seminiferous epithelium usually consisting of sertoli cells, spermatogonia, primary spermatocytes, and sometimes a few spermatids. Type II tubules had a normal diameter (180 to 220 microns) and germ cell development varied between complete spermatogenesis and Sertoli-cell-only tubules. Type III tubules had decreased diameter (less than 180 microns), atrophic seminiferous epithelium, and thickened tunica propria. The appearance of the nuclei of the sertoli cells in the three types of tubules could be either mature or immature. Some of the mature sertoli cells presented a granular cytoplasm. A few of these granular cells grouped together, forming nests that protruded into the tubular lumen. The testicular biopsies from cases no. 3 and 4 only presented type II tubules that contained both mature and immature sertoli cells. Quantitative study revealed that the large testicular size was principally due to an increased tubular length in all four cases. Although the seminiferous tubule lesions and interstitial edema suggest an obstructive process, the testicular excretory ducts (studied in case no. 1) appeared normal or only slightly dilated. It is possible that the seminiferous tubule lesions (dilated lumen and germ cell depletion) might be secondary to the Sertoli cell lesions (granular cytoplasm and nuclear immature-like pattern.- - - - - - - - - - ranking = 0.5keywords = tunica (Clic here for more details about this article) |
10/36. Splenogonadal fusion: report of a case and review of the literature.We report a case of splenogonadal fusion masquerading as a testicular tumor and review the etiology, the pathogenesis and the management of this rare disease. A 20-year-old male patient presented with clinical and radiological findings of a left testicular mass for which he underwent a left radical inguinal orchidectomy. Histopathology of the removed testicle revealed no tumor. The gonad was fused to ectopic splenic tissue, the later forming a distinct encapsulated mass attached to the lower pole of the testicle inside the tunica vaginalis. Splenogonadal fusion, although a rare condition, may account for a non-malignant testicular mass and should be suspected in young patients with other congenital anomalies.- - - - - - - - - - ranking = 0.5keywords = tunica (Clic here for more details about this article) |
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