Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound

Testicular mucinous cystadenoma is a rare benign testicular tumor with the characteristics of being potentially malignant and showing atypical clinical symptoms; this article reports a case of a primary testicular mucinous cystadenoma misdiagnosed as testicular teratoma by ultrasound. A 69-year-old...

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Main Authors: Linlin Zhang, Jianyuan Xuan, Manxi Li, Mei Zhang, Yu Song, Ziang Pan, Bo Fan, Lin Lu, Hongyan Zhou, Yang Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1206697/full
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author Linlin Zhang
Jianyuan Xuan
Manxi Li
Mei Zhang
Yu Song
Ziang Pan
Bo Fan
Lin Lu
Hongyan Zhou
Yang Li
author_facet Linlin Zhang
Jianyuan Xuan
Manxi Li
Mei Zhang
Yu Song
Ziang Pan
Bo Fan
Lin Lu
Hongyan Zhou
Yang Li
author_sort Linlin Zhang
collection DOAJ
description Testicular mucinous cystadenoma is a rare benign testicular tumor with the characteristics of being potentially malignant and showing atypical clinical symptoms; this article reports a case of a primary testicular mucinous cystadenoma misdiagnosed as testicular teratoma by ultrasound. A 69-year-old man was admitted to the hospital because of a 1-year history of left-sided testicular enlargement with scrotal swelling and no obvious abnormalities on laboratory tests. Ultrasound examination revealed solid-mass lesions in the left testicle, suggesting a high probability of teratoma, and contrast-enhanced magnetic resonance imaging (MRI) examination suggested an increased possibility of epidermoid cysts. Contrast-enhanced computed tomography (CT) and contrast-enhanced MRI of the preoperative abdomen and pelvis showed no other primary adenocarcinoma. Doctors performed radical resection of the left testicle. The postoperative pathological diagnosis was mucinous cystadenoma, and calcification as well as partially mildly atypical epithelial cells were discovered. Furthermore, there were no neoplastic lesions in the epididymis or spermatic cord. No metastatic lesions were found after 6 months postoperative follow-up, and the patient’s prognosis remains good.
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spelling doaj.art-01ce6ba2d06141b5b03531f80b92f2402023-09-05T09:34:01ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12066971206697Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasoundLinlin Zhang0Jianyuan Xuan1Manxi Li2Mei Zhang3Yu Song4Ziang Pan5Bo Fan6Lin Lu7Hongyan Zhou8Yang Li9Department of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Urology, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, ChinaTesticular mucinous cystadenoma is a rare benign testicular tumor with the characteristics of being potentially malignant and showing atypical clinical symptoms; this article reports a case of a primary testicular mucinous cystadenoma misdiagnosed as testicular teratoma by ultrasound. A 69-year-old man was admitted to the hospital because of a 1-year history of left-sided testicular enlargement with scrotal swelling and no obvious abnormalities on laboratory tests. Ultrasound examination revealed solid-mass lesions in the left testicle, suggesting a high probability of teratoma, and contrast-enhanced magnetic resonance imaging (MRI) examination suggested an increased possibility of epidermoid cysts. Contrast-enhanced computed tomography (CT) and contrast-enhanced MRI of the preoperative abdomen and pelvis showed no other primary adenocarcinoma. Doctors performed radical resection of the left testicle. The postoperative pathological diagnosis was mucinous cystadenoma, and calcification as well as partially mildly atypical epithelial cells were discovered. Furthermore, there were no neoplastic lesions in the epididymis or spermatic cord. No metastatic lesions were found after 6 months postoperative follow-up, and the patient’s prognosis remains good.https://www.frontiersin.org/articles/10.3389/fonc.2023.1206697/fulltesticlecystadenomamucinousultrasounddiagnostic errors
spellingShingle Linlin Zhang
Jianyuan Xuan
Manxi Li
Mei Zhang
Yu Song
Ziang Pan
Bo Fan
Lin Lu
Hongyan Zhou
Yang Li
Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
Frontiers in Oncology
testicle
cystadenoma
mucinous
ultrasound
diagnostic errors
title Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
title_full Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
title_fullStr Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
title_full_unstemmed Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
title_short Case report: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
title_sort case report misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound
topic testicle
cystadenoma
mucinous
ultrasound
diagnostic errors
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1206697/full
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