Case 21
History:
60 year old male with palpable right testicular lesion
Findings:
Testicular ultrasound showing cystic lesions near mediastinum region
Diagnosis:
Cystic dilatation of rete testis
Discussion:
Benign entity secondary to obliteration of efferent ductules resulting in cystic appearance usually near the mediastinum. Most frequently found in patients of 50 year old or older and is often bilateral. Extratesticular lesions are typically more common than intratesticular ones. About 95 percent of intratesticular lesions are malignant. Recognition of benign lesions is important to avoid unnecessary surgery.
Benign lesions include intratesticular simple cysts, tubular ectasia, epidermoid cyst, tunica albuginea cyst, intratesticular varicocele, abscess, and hemorrhage. Benign lesions include intratesticular simple cysts, tubular ectasia, epidermoid cyst, tunica albuginea cyst, intratesticular varicocele, abscess, and hemorrhage.
