Bikash Mandal, Aayush Bist, Sushil Dhakal
Maya Metro Hospital, Pvt. Ltd., Dhangadhi, Nepal.
Ann Med Surg (Lond). 2025 Jan 31;87(3):1656-1659. doi: 10.1097/MS9.0000000000002756. eCollection 2025 Mar.
Adenomatoid tumors are uncommon benign growths that usually occur in middle-aged men. Originating from mesothelial cells and are primarily found in the area near the testicles, especially at the tail of the epididymis. A clear diagnosis of the tumor is important to distinguish it from more aggressive intrascrotal tumors based on clinically and imaging tests. Overall, the prognosis for individuals with adenomatoid tumors of the epididymis is excellent, with less risk of recurrence or complications following surgical removal.
This article reports on an 18-year-old male with a history of small painless mass in the scrotum around the right testis for 6 months not growing in size. There were no significant complaints related to genitourinary system nor did the patient have any past medical or surgical history. On local examination, a 2 × 2 cm well defined, nodular, solid, firm mass was palpable adjacent to the head of right epididymis.
Adenomatoid tumor of the epididymis are rare benign neoplasm of mesenchymal origin. These tumors mostly being asymptomatic are often misdiagnosed. In this patient, all the systemic examinations and Lab reports were normal and scrotal ultrasound failed to provide the exact diagnosis which eventually was proven on the histopathology section. The nodule was removed on local anesthesia. The patient was counseled and followed up routinely.
The case report emphasizes the significance of early diagnosis of adenomatoid tumor and differentiates it from other similar intrascrotal masses which is crucial to avoid unnecessary interventions for patients.
腺瘤样瘤是一种罕见的良性肿瘤，通常发生于中年男性。它起源于间皮细胞，主要见于睾丸附近区域，尤其是附睾尾部。基于临床和影像学检查，对该肿瘤做出明确诊断对于将其与更具侵袭性的阴囊内肿瘤相鉴别十分重要。总体而言，附睾腺瘤样瘤患者的预后良好，手术切除后复发或出现并发症的风险较低。
本文报告一名18岁男性，其右侧睾丸周围阴囊内有无痛性小肿块，病史6个月，大小未增长。患者无与泌尿生殖系统相关的明显不适，既往也无任何内科或外科病史。局部检查发现，在右侧附睾头部附近可触及一个2×2厘米、边界清晰、结节状、实性、质地坚硬的肿块。
附睾腺瘤样瘤是一种罕见的间叶组织起源的良性肿瘤。这些肿瘤大多无症状，常被误诊。在该患者中，所有全身检查和实验室报告均正常，阴囊超声未能提供确切诊断，最终在组织病理学检查中得以证实。在局部麻醉下切除了结节。对患者进行了咨询并常规随访。
该病例报告强调了早期诊断腺瘤样瘤的重要性，并将其与其他类似的阴囊内肿块相鉴别，这对于避免对患者进行不必要的干预至关重要。
