ABSTRACT
OBJECTIVE: To report 5 cases of adenomatoid tumor of the epididymis that have been diagnosed in the last 11 years at our hospital. We performed a bibliographic review with discussion of diagnosis, differential diagnosis and treatment of this rare type of lesion. METHOD: We have performed a retrospective analysis of epididymal adenomatoid tumors diagnosed during the last 11 years in our hospital, from January 2001 to June 2012. RESULTS: The average age of the series was 44 years. The predominant reason for consultation was long duration painless scrotal mass, with palpable nodule, usually dependent of the epididymis. 60% of the patients have been studied with abdominal ultrasound, which showed a nodular paratesticular lesion, with an echogenicity compatible with solid tissue. Tumor markers associated with testicular tumors (alpha-fetoprotein (AFP)), beta-human chorionic gonadotropin (b-HCG) and lactate dehydrogenase (LDH) were analyzed in 60% of the cases, being normal in all patients. 3 lumpectomies, 1 epididymectomy and 1 radical orchiectomy have been performed. CONCLUSIONS: The discovery of a solid epididymal mass is uncommon in clinical practice. Physical examination and imaging tests should confirm the paratesticular origin of the lesion, being then trans-scrotal epididymectomy the treatment of choice. If diagnosis is uncertain, inguinal approach and intraoperative biopsy are mandatory.
Subject(s)
Adenomatoid Tumor , Testicular Neoplasms , Adenomatoid Tumor/diagnosis , Adenomatoid Tumor/surgery , Adult , Epididymis , Humans , Male , Orchiectomy , Retrospective Studies , Testicular Neoplasms/diagnosis , Testicular Neoplasms/surgeryABSTRACT
OBJETIVO: Presentar los 5 casos de tumor adenomatoide epididimario, diagnosticados en los últimos 11 años en nuestro centro. Revisión bibliográfica y discusión del diagnóstico diferencial y tratamiento de este tipo de lesiones poco frecuentes en la práctica clínica. MÉTODO: Se realiza un análisis retrospectivo de los casos de tumor adenomatoide epididimario diagnosticados durante los últimos 11 años en nuestro hospital, desde enero de 2001 a febrero de 2012. RESULTADOS: La edad media de la serie fue de 44 años. El motivo de consulta predominante fue masa escrotal no dolorosa de larga evolución, con nódulo palpable, generalmente dependiente del epidídimo. En el 60% de los casos se realizó ecografía abdominal, en la cual se observó lesión paratesticular nodular de ecogenicidad compatible con tejido sólido. En el 60 % de los casos se analizaron los marcadores tumorales relacionados con tumores testiculares: alfafetoproteína (AFP), beta-gonadotropina coriónica humana (b-HCG) y lactato deshidrogenasa (LDH), que resultaron normales. Se realizaron 3 tumorectomías, 1 epididimectomía y 1 orquiectomía radical. CONCLUSIONES: El hallazgo de una masa sólida epididimaria es infrecuente en la práctica clínica. La exploración física y pruebas de imagen deben confirmar el origen paratesticular de la lesión, siendo entonces la epididimectomía transescrotal el tratamiento de elección. Ante duda diagnóstica, el abordaje quirúrgico por vía inguinal con biopsia intraoperatoria de la tumoración es mandatorio
OBJECTIVE: To report 5 cases of adenomatoid tumor of the epididymis that have been diagnosed in the last 11 years at our hospital. We performed a bibliographic review with discussion of diagnosis, differential diagnosis and treatment of this rare type of lesion. METHOD: We have performed a retrospective analysis of epididymal adenomatoid tumors diagnosed during the last 11 years in our hospital, from January 2001 to June 2012. RESULTS: The average age of the series was 44 years. The predominant reason for consultation was long duration painless scrotal mass, with palpable nodule, usually dependent of the epididymis. 60% of the patients have been studied with abdominal ultrasound, which showed a nodular paratesticular lesion, with an echogenicity compatible with solid tissue. Tumor markers associated with testicular tumors (alpha-fetoprotein (AFP), beta-human chorionic gonadotropin (b-HCG) and lactate dehydrogenase (LDH)) were analyzed in 60% of the cases, being normal in all patients. 3 lumpectomies, 1 epididymectomy and 1 radical orchiectomy have been performed. CONCLUSIONS : The discovery of a solid epididymal mass is uncommon in clinical practice. Physical examination and imaging tests should confirm the paratesticular origin of the lesion, being then trans---scrotal epididymectomy the treatment of choice. If diagnosis is uncertain, inguinal approach and intraoperative biopsy are mandatory
Subject(s)
Humans , Male , Adult , Adenomatoid Tumor/complications , Adenomatoid Tumor/diagnosis , Adenomatoid Tumor/surgery , Epididymis/pathology , Epididymis/surgery , Epididymis , Biomarkers, Tumor , Adenomatoid Tumor , Diagnosis, Differential , Retrospective Studies , Abdomen , OrchiectomyABSTRACT
Glomus tumors are usually benign tumors that occur in the skin and soft tissues of the extremities. Visceral locations, such as stomach, intestines or lung, are extremely rare because glomus bodies are rare or absent in these organs. This report describes our experience in a 47-year-old woman diagnosed with a peritoneal malignant glomus tumor. This finding has not been previously reported.
