Adolescent Hydrocele Carrying a Surprise: A Case of Papillary Cystadenoma of the Epididymis

Adolescent Hydrocele Carrying a Surprise: A Case of Papillary Cystadenoma of the Epididymis Papillary cystadenoma of the epididymis (PCE) is a rare benign epithelial tumor remarkable for its association with von Hippel-Lindau disease.A 12-year-old boy consulted for a progressive enlargement of the left testicle. At time of surgery, the whole epididymis was enlarged. Pathologic diagnosis was PCE with a focus on borderline malignancy. Scrotal left epididymectomy was performed. von Hippel-Lindau disease screening was negative. No relapse has been detected 2 years later.In case of atypical clinical examination of a hydrocele, unusual presentations such as PCE should be considered. The main differential diagnoses were adenomatoid tumor, nonpapillary cystadenoma, and metastatic clear cell renal carcinoma. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Urology Elsevier

Adolescent Hydrocele Carrying a Surprise: A Case of Papillary Cystadenoma of the Epididymis

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Publisher
Elsevier
Copyright
Copyright © 2017 Elsevier Inc.
ISSN
0090-4295
D.O.I.
10.1016/j.urology.2017.10.040
Publisher site
See Article on Publisher Site

Abstract

Papillary cystadenoma of the epididymis (PCE) is a rare benign epithelial tumor remarkable for its association with von Hippel-Lindau disease.A 12-year-old boy consulted for a progressive enlargement of the left testicle. At time of surgery, the whole epididymis was enlarged. Pathologic diagnosis was PCE with a focus on borderline malignancy. Scrotal left epididymectomy was performed. von Hippel-Lindau disease screening was negative. No relapse has been detected 2 years later.In case of atypical clinical examination of a hydrocele, unusual presentations such as PCE should be considered. The main differential diagnoses were adenomatoid tumor, nonpapillary cystadenoma, and metastatic clear cell renal carcinoma.

Journal

UrologyElsevier

Published: Feb 1, 2018

References

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