Benign Scrotal Tumor in a Pediatric Patient: Epididymal Cyst

A pediatric patient of 12 years consulted for a left scrotal mass of 2 months of evolution. After suspecting a cystic content due to positive transillumination, on ultrasonography a scrotal cyst separated from the testis, of 5 cm in its maximum length, was confirmed. Due to size, parental anxiety, and the referred short evolution, excision was decided. Given the clinical radiological findings, a scrotal incision was chosen, obtaining complete excision. Biopsy confirmed the diagnosis of simple epididymal cyst (EC). ECs usually present as painless, scrotal swelling in adolescents as a result of dilatation of the efferent epididymal tubules. Many cases (up to 60%) regress spontaneously. In these, average time to involute ranges from 4 to 50 months. Although cases of cyst torsion have been described (with pain derived from ischemia and inflammation), conservative management has been suggested in the majority, both in pediatric and in adult series. Surgery is recommended in some patients, due to testicular pain or increased paratesticular mass, as was our case.

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Paratesticular Inflammatory Myofibroblastic Tumor in a Pediatric Patient

Case Reports in Urology ◽

10.1155/2014/303678 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Miriam Harel ◽

John H. Makari

Keyword(s):

Pediatric Patient ◽

Inflammatory Myofibroblastic Tumor ◽

Wide Excision ◽

Adenomatoid Tumor ◽

Complete Excision ◽

Paratesticular Mass

Although rare, paratesticular inflammatory myofibroblastic tumor (IMT) represents the second most common paratesticular mass after adenomatoid tumor and comprises roughly 6% of such lesions. Only approximately four cases have been reported in patients younger than 18 years of age. We report an incidentally discovered paratesticular IMT in a 17-year-old male successfully treated with wide excision and testis sparing. To our knowledge, no recurrence has been reported after complete excision of paratesticular IMT; however, continued follow-up is recommended.

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Renal lobar dysmorphism: a potential mimic of renal malignancy

BMJ Case Reports ◽

10.1136/bcr-2020-237096 ◽

2021 ◽

Vol 14 (2) ◽

pp. e237096

Author(s):

Derek Barry Hennessey ◽

Adrian B Brady ◽

Rhona Dempsey ◽

Kenneth Patterson

Keyword(s):

Normal Tissue ◽

Renal Mass ◽

Intravenous Urography ◽

Renal Ultrasound ◽

Apparent Mass ◽

Radiological Imaging ◽

Radiological Findings ◽

Anatomical Variant ◽

Scrotal Swelling

A renal pseudotumour is any apparent renal mass that simulates a tumour on radiological imaging but is composed of normal tissue. Renal pseudotumours may be inflammatory, vascular, postsurgical or congenital. We report a case of renal lobar dysmorphism (RLD) of the kidney, a congenital renal pseudotumour. A 45-year-old man presented with scrotal swelling. Testicular ultrasound showed an epididymal cyst. Renal ultrasound showed a right solid renal apparent mass of 2.4 cm in diameter. Triphasic renal CT showed this was consistent with RLD. Intravenous urography confirmed a central calyx within the dysmorphic lobe. RLD is a rare congenital normal anatomical variant, which can appear as a renal pseudotumour. No further investigation or intervention is necessary. We present the radiological findings of RLD and review the literature.

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Complex fibroadenoma with focal ossification- an enigmatic finding in a less common tumor

International Surgery Journal ◽

10.18203/2349-2902.isj20211851 ◽

2021 ◽

Vol 8 (5) ◽

pp. 1650

Author(s):

Subhransu Kumar Hota ◽

Ranjana Giri ◽

Hardik Kabra ◽

Devika Chauhan ◽

Prita Pradhan ◽

...

Keyword(s):

Excision Biopsy ◽

Radiological Findings ◽

Breast Lump ◽

In Situ Carcinoma ◽

Unusual Occurrence ◽

Malignant Lesions ◽

Breast Lumps ◽

Sclerosing Adenosis

Breast lumps have diverse causes including benign as well as malignant lesions. Fibroadenoma (FA) is a common cause of breast lump. Complex fibroadenomas, a particular subtype, pose diagnostic dilemmas due to confusing the radiological findings and hold higher incidence of transformation to malignancy. A 49 year old female presented with a painless lump in right breast for 2 years which appeared calcified on radiology. Excision biopsy was performed which grossly revealed an encapsulated grey-white firm to hard with cystic areas. Microscopically the sections showed a well encapsulated fibroepithelial tumor showing areas of sclerosing adenosis, hyalinization, cysts lined by cuboidal cells with eosinophilic secretions, areas of calcification and ossification. No evidence of lobular hyperplasia or in-situ carcinoma was seen. Patient was advised follow up. This case represents the unusual occurrence of complex fibroadenoma in a middle-aged female showing with ossification.

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Intermittent Testicular Torsion

PEDIATRICS ◽

10.1542/peds.77.6.908 ◽

1986 ◽

Vol 77 (6) ◽

pp. 908-911

Author(s):

Thomas J. Stillwell ◽

Stephen A. Kramer

Keyword(s):

Primary Care Physicians ◽

Testicular Torsion ◽

Separate Entity ◽

Scrotal Pain ◽

Young Males ◽

Testicular Pain ◽

Acute Scrotal Pain ◽

History Of ◽

Scrotal Swelling ◽

Physical Findings

Testicular torsion is the most common cause of acute scrotal pain in prepubertal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. Intermittent testicular torsion is a separate entity that should be considered in all young males with a history of scrotal pain and swelling. Acute and intermittent sharp testicular pain and scrotal swelling, interspersed with long intervals without symptoms, are characteristic. Physical findings may include horizontal or very mobile testes, an anteriorly located epididymis, or bulkiness of the spermatic cord from partial twisting. Awareness of this entity and early elective orchiopexy will improve testicular salvage in patients with intermittent testicular torsion.

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Perforated necrotic appendix in Amyand’s hernia treated with appendicectomy and simple suture repair of the inguinal hernia

BMJ Case Reports ◽

10.1136/bcr-2019-231765 ◽

2019 ◽

Vol 12 (11) ◽

pp. e231765 ◽

Cited By ~ 1

Author(s):

Muhamamd Isfandyar Khan Malik ◽

Joshua Abbas ◽

Paul Shuttleworth ◽

Nafees Qureshi

Keyword(s):

Inguinal Hernia ◽

Amyand’S Hernia ◽

Suture Repair ◽

Small Bowel Mesentery ◽

Good Recovery ◽

Hernia Sac ◽

Blood Tests ◽

Testicular Pain ◽

Scrotal Hernia ◽

Scrotal Swelling

A 50-year-old man was referred to the emergency department by his general practitioner with a tender right-sided irreducible inguinal hernia (previously reducible), right-sided testicular pain and scrotal swelling. Clinical examination revealed a non-reducible, tender right inguinal-scrotal hernia and swollen right scrotum. Blood tests showed raised inflammatory markers. The patient went on to have a CT scan which was reported to show an indirect right inguinal-scrotal hernia possibly containing terminal ileum and small bowel mesentery. The scan also showed increased infiltrate changes within the hernia sac suggesting incarceration with possible early strangulation but no obvious evidence of bowel obstruction. The patient was taken to the operating theatre and found to have a large right inguinal-scrotal hernia containing pus and a perforated necrotic appendix. He went to have an appendicectomy and sutured repair of the hernia. Postoperatively, the patient made a good recovery and was discharged 2 days postsurgery.

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Paratesticular Mass as a Presenting Sign of Sarcoidosis

PEDIATRICS ◽

10.1542/peds.66.3.462 ◽

1980 ◽

Vol 66 (3) ◽

pp. 462-463

Author(s):

Janis Schaeffer ◽

Michael Nussbaum ◽

Sandy Meyersfield

Keyword(s):

Weight Loss ◽

Differential Diagnosis ◽

Genital Tract ◽

Medical Center ◽

Chief Complaint ◽

Past Medical History ◽

Multisystem Disease ◽

Scrotal Mass ◽

Paratesticular Mass ◽

Obscure Origin

Sarcoidosis is a chronic granulomatous process of obscure origin. Although the disorder is characterized by multisystem disease, involvement of the genital tract is uncommon. The purpose of this paper is to record a patient with a scrotal mass as a presenting symptom of sarcoid. Sarcoidosis should be considered when the differential diagnosis of scrotal masses is under consideration. CASE REPORT An 18-year-old black man was admitted to the Adolescent Service of Long Island Jewish-Hillside Medical Center with the chief complaint of a right scrotal mass. His past medical history and review of symptoms were entirely negative except for a 14-lb weight loss in four months.

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Long-standing aggressive angiomyxoma as a paratesticular mass: A case report and review of literature

SAGE Open Medical Case Reports ◽

10.1177/2050313x17712090 ◽

2017 ◽

Vol 5 ◽

pp. 2050313X1771209 ◽

Cited By ~ 1

Author(s):

Ahmet M Aydin ◽

Kubra Katipoglu ◽

Dilek E Baydar ◽

Cenk Y Bilen

Keyword(s):

Benign Tumor ◽

Premenopausal Women ◽

Male Gender ◽

Biological Behavior ◽

Aggressive Angiomyxoma ◽

Review Of Literature ◽

Scrotal Mass ◽

Characteristic Features ◽

Paratesticular Mass ◽

Radiological Studies

Objectives: Aggressive angiomyxoma is known as a mesenchymal tumor of premenopausal women and it is extremely rare in men. Methods: Herein, we report a 66-year-old male with a firm scrotal mass that had gradually enlarged over 20 years. Results: Radiological studies revealed 10 x 15 cm mass lesion confined to right scrotum with neither local invasion nor distant metastasis. Inguinal orchiectomy was performed and histopathology showed characteristic features of an aggressive angiomyxoma occupying paratesticular region, which was a challenging diagnosis due to its unexpected occurrence in the male gender. Conclusion: Aggressive angiomyxoma is mostly considered as a benign tumor in females despite its propensity for local recurrence. Whether it may show a divergent biological behavior in men is unknown as the reported cases are too few.

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Breast Lesions during Pregnancy - a Diagnostic Challenge: Case Report

Breast Care ◽

10.1159/000381823 ◽

2015 ◽

Vol 10 (3) ◽

pp. 207-210 ◽

Cited By ~ 2

Author(s):

Ines Beyer ◽

Nikola Mutschler ◽

Katrin S. Blum ◽

Svjetlana Mohrmann

Keyword(s):

Case Report ◽

Core Needle Biopsy ◽

Needle Biopsy ◽

Ductal Carcinoma ◽

Significant Proportion ◽

Excision Biopsy ◽

Diagnostic Challenge ◽

Complete Excision ◽

Core Needle ◽

Younger Women

Background: Palpable masses of the breast often occur during pregnancy and should be further investigated. The standard diagnostic during pregnancy is an ultrasound combined, if needed, with a core needle biopsy. Most lesions are benign in younger women but, nevertheless, the incidence of pregnancy-associated breast cancer is 1 in 3,000 deliveries and rising. Case Report: We report the case of a 24-year-old patient diagnosed with a palpable breast lesion at 37 weeks of gestation. An ultrasound was performed and the lesion was rated BI-RADS 4. The initial core needle biopsy showed a ductal carcinoma in situ. After delivery and ablactating, a mammography, breast magnetic resonance imaging and a second ultrasound-guided biopsy was performed. Due to the inconclusive imaging and histological results, a wide excision was performed and a juvenile papillomatosis was confirmed. No further resection was necessary as the initial margins were sufficient. Conclusion: This case suggests that the diagnosis of masses of the breast during pregnancy and lactation can be quite difficult. Diagnosis should be confirmed by an excision biopsy and by histological examination through an experienced pathologist. As a significant proportion of papillomas contain malignant regions, an argument exists for the complete excision of all papillary tumours.

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Ectopic Prostate Tissue within the Processus Vaginalis: Insights into Prostate Embryogenesis

Pediatric and Developmental Pathology ◽

10.1007/s10024-005-0003-1 ◽

2005 ◽

Vol 8 (3) ◽

pp. 379-385 ◽

Cited By ~ 7

Author(s):

Christine A. VanBeek ◽

Craig A. Peters ◽

Sara O. Vargas

Keyword(s):

Plasma Membrane ◽

Urinary Tract ◽

Epithelial Cells ◽

Prostate Specific Antigen ◽

Pediatric Patient ◽

Specific Antigen ◽

Prostate Tissue ◽

Peanut Agglutinin ◽

Processus Vaginalis ◽

Scrotal Mass

We report an 11-year-old boy who presented with a scrotal mass superior to the epididymis in the processus vaginalis. The mass consisted of prostate tissue, including glands and fibromuscular stroma, communicating with a spermatocele. Strong immunostaining for prostate-specific antigen was seen in the glandular epithelium. Immunostaining for peanut agglutinin highlighted the luminal plasma membrane in a subset of epithelial cells, mainly those located around the periphery of the nodule. To the best of our knowledge, this represents the first report of a pediatric patient with ectopic prostate tissue located outside the urinary tract and the first instance altogether of ectopic prostate noted at this location. The young age of the patient, the lesion's constituents, and its location suggest that the finding represents a disorder of development.

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Scrotal leiomyoma: a rare cause of scrotal swelling

African Journal of Urology ◽

10.1186/s12301-020-00082-1 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

P. A. Egharevba ◽

O. Omoseebi ◽

A. I. Okunlola ◽

O. A. Omisanjo

Keyword(s):

Smooth Muscle ◽

Spermatic Cord ◽

Surgical Excision ◽

Case Presentation ◽

Scrotal Mass ◽

History Of ◽

Scrotal Swelling ◽

Vascular Structures ◽

The Right

Abstract Background Leiomyomas are benign smooth muscle tumours predominantly found in the uterus. Rarely, they may be located in the ovaries, scrotum, bladder, lungs, vascular structures and spermatic cord. Case presentation We managed a 39-year-old man who presented with a year history of progressive right-sided hemiscrotal swelling. The right scrotal mass was excised, and histology showed scrotal leiomyoma. Conclusion Scrotal leiomyoma is very rare and challenging to diagnose pre-operatively as a cause of scrotal swelling, but it is amenable to surgical excision.

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