Mancilla-Jimenez R, Matsuda G T
J Urol. 1975 Nov;114(5):730-3. doi: 10.1016/s0022-5347(17)67130-1.
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.
本文报告了4例起源于白膜的良性睾丸囊肿。文献回顾仅发现另外4例此类病变。临床上，这些囊肿可表现为肿瘤或疼痛性肿胀，或偶然发现。3例曾考虑为睾丸癌并进行了高位腹股沟睾丸切除术。文中讨论了1例采用的保守手术方法的可能性。这些囊肿出现在睾丸的前侧和外侧，与白膜有广泛连接，内衬立方形上皮。在纤维性囊壁和白膜中发现了腺样包涵体。文中讨论了这些病变的组织发生，并提出证据表明其可能起源于发育过程中被困的间皮残余。本文简要回顾了睾丸囊性病变的鉴别诊断。
