Poupalou Anna, Spyridis George, Vakaki Marina, Giamarelou Panagiota, Petousis George, Nikolaidis Pantelis
Department of Pediatric Surgery, Hôpital Necker Enfants Malades, 149 Rue de Sévres, Paris, France.
Case Rep Med. 2011;2011:389857. doi: 10.1155/2011/389857. Epub 2011 Jul 3.
Cystic dysplasia of the testis (CDT) is a benign, congenital malformation of the testis and a rare cause of painless scrotal swelling in children, mimicking testicular cancer. It is commonly unilateral, often associated with ipsilateral wolffian duct and ureteral abnormalities. Cystic dysplasia of the rete testis (CDT) represents a diagnostic challenge made easier if age, precise localisation, typical ultrasonographic features, the presence or absence of associated genitourinary malformations, as well as tumor markers are considered. The definite treatment of such a benign lesion is testis-sparing surgery, however in most cases watch and wait strategy can be recommended. We present a case of cystic dysplasia of the testis in a 17-month-old boy with right multicystic dysplastic kidney, epididymal cyst, history of vesicoureteral reflux (VUR), as well as of solitary umbilical artery. We performed epididymidal cyst enucleation and right testicular biopsy.
睾丸囊性发育异常（CDT）是一种良性先天性睾丸畸形，是儿童无痛性阴囊肿胀的罕见原因，易被误诊为睾丸癌。它通常为单侧性，常与同侧中肾管及输尿管异常相关。如果考虑到年龄、精确的定位、典型的超声特征、是否存在相关的泌尿生殖系统畸形以及肿瘤标志物等因素，睾丸网囊性发育异常（CDT）的诊断难度会降低。对于这种良性病变，确切的治疗方法是保留睾丸手术，然而在大多数情况下，可推荐观察等待策略。我们报告一例17个月大男孩的睾丸囊性发育异常病例，该男孩同时患有右侧多囊性发育不良肾、附睾囊肿、膀胱输尿管反流（VUR）病史以及单脐动脉。我们进行了附睾囊肿摘除术及右侧睾丸活检。
