Clear Cell Papillary Cystadenoma of the Epididymis Associated with Multiple Renal and Pancreatic Cysts.
- Author:
Sang Wook LEE
1
;
Hae Won JUNG
;
Sung Yong KIM
;
Hayoung KIM
;
Dae Yul YANG
;
Seong Jin CHO
Author Information
1. Department of Urology, Hallym University College of Medicine, Seoul, Korea. yang1408@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Papillary cystadenoma;
Epididymis;
von Hippel-Lindau syndrome
- MeSH:
Adult;
Biopsy;
Cystadenoma;
Cystadenoma, Papillary*;
Epididymis*;
Humans;
Infertility;
Male;
Pancreatic Cyst*;
Retinaldehyde;
Spermatogenesis;
von Hippel-Lindau Disease
- From:Korean Journal of Andrology
2007;25(3):141-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Papillary cystadenoma of the epididymis is a rare benign tumor that accounts for only 5% of all epididymal tumors. A case of epididymal cystadenoma was presented in a 25 year old man. The patient was hospitalized initially because of infertility and bilateral painless palpable scrotal masses. He had multiple renal cysts and pancreatic cysts. He had no renal, adrenal, cerebellar or retinal lesion as cardinal manifestation of the Von Hippel-Lindau Syndrome (VHL). The VHL gene mutation in this case was not identified. For evaluation and management, we planned left epididymovasostomy and left testicular biopsy. However, due to a cystic change on the left epididymis and left tunica albuginea, we instead performed a left partial epididymectomy for the cystic lesion, excision of the cystic mass from the left tunica albuginea, and diagnostic left testicular biopsy. The pathologic evaluation revealed a papillary cystadenoma of the epididymis and tunica albuginea, but with normal spermatogenesis.
