Farah Mohamed, Song Mosea, Mahmalji Wasim
Urology, Wye Valley NHS Trust, Hereford, GBR.
Cureus. 2023 Oct 23;15(10):e47505. doi: 10.7759/cureus.47505. eCollection 2023 Oct.
Adenomatoid tumours are rare benign neoplasm involving the para testicular region, mostly the tail of the epididymis. They are typically small, firm and asymptomatic masses in the scrotal region and often discovered incidentally during physical examination or imaging studies. It is very challenging to differentiate them clinically and radiologically from malignant intratesticular solid tumours, which may lead to unnecessary orchidectomies. This case report presents the clinical management of a 57-year-old male patient with adenomatoid tumour of the epididymis, highlighting the diagnostic workup, surgical approach and postoperative outcomes. In addition, a comprehensive literature review was conducted to discuss the morphological and immunohistochemical features to improve understanding of these rare lesions and assist in accurate diagnosis and appropriate management.
腺瘤样瘤是一种罕见的良性肿瘤,累及睾丸旁区域,主要是附睾尾部。它们通常是阴囊区域的小而硬且无症状的肿块,常在体格检查或影像学检查时偶然发现。在临床和放射学上,将它们与睾丸内恶性实性肿瘤区分开来非常具有挑战性,这可能导致不必要的睾丸切除术。本病例报告介绍了一名57岁男性附睾腺瘤样瘤患者的临床管理,重点强调了诊断检查、手术方法及术后结果。此外,还进行了全面的文献综述,以探讨其形态学和免疫组化特征,以增进对这些罕见病变的了解,并有助于准确诊断和适当管理。