Epididymal adenomatoid tumor: a case report and literature review
Abstract Background Adenomatoid tumor is a very rare benign neoplasm of mesothelial origin affecting mainly female and male genital tracts. The diagnosis is challenging as this tumor mimics many differential diagnoses. The current literature offers only some case reports and short series of adenomat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-11-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12301-022-00329-z |
| _version_ | 1811304453329911808 |
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| author | Boubacar Efared Idrissa Boubacar Djibo Soumana Aïchatou Balaraba Abani Bako Idrissa Seriba Coulibaly Hamadou Halidou Koura Habiba Salifou Boureima Hassan Nouhou |
| author_facet | Boubacar Efared Idrissa Boubacar Djibo Soumana Aïchatou Balaraba Abani Bako Idrissa Seriba Coulibaly Hamadou Halidou Koura Habiba Salifou Boureima Hassan Nouhou |
| author_sort | Boubacar Efared |
| collection | DOAJ |
| description | Abstract Background Adenomatoid tumor is a very rare benign neoplasm of mesothelial origin affecting mainly female and male genital tracts. The diagnosis is challenging as this tumor mimics many differential diagnoses. The current literature offers only some case reports and short series of adenomatoid tumors. Case presentation A 47-year-old patient with unremarkable medical history presented for chronic mild pain of the right testis evolving for months. The physical examination shows a palpable right intrascrotal nodule of 10 mm in greatest diameter. The nodule was painful, mobile with firm consistency. The laboratory investigations were within normal limits, the scrotal ultrasonography showed a well-circumscribed predominantly hyperechoic intrascrotal nodule in the right epididymal head with heterogeneous echostructure. Excisional biopsy of the lesion was performed and the histopathological analysis showed a well-circumscribed tumor with microcystic and trabecular architecture made of small interconnected tubules and cysts lined by flattened cells with prominent vacuolization and thread-like bridging strands, consistent with an epididymal adenomatoid tumor. The postoperative course was uneventful and the patient was discharged. Four months after surgical treatment, the patient has no sign of the disease. Conclusion Testicular adenomatoid tumors are uncommon benign neoplasms with diagnostic challenge. Adenomatoid tumors arising in epididymis are managed by excisional biopsy with testis-sparing surgery avoiding unnecessary orchidectomy. |
| first_indexed | 2024-04-13T08:07:29Z |
| format | Article |
| id | doaj.art-eca4a7d0e27e4956a7da1d5731bb0063 |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-04-13T08:07:29Z |
| publishDate | 2022-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-eca4a7d0e27e4956a7da1d5731bb00632022-12-22T02:55:07ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872022-11-012811610.1186/s12301-022-00329-zEpididymal adenomatoid tumor: a case report and literature reviewBoubacar Efared0Idrissa Boubacar1Djibo Soumana2Aïchatou Balaraba Abani Bako3Idrissa Seriba Coulibaly4Hamadou Halidou Koura5Habiba Salifou Boureima6Hassan Nouhou7Faculty of Health Sciences, Abdou Moumouni UniversityPathology Laboratory, Niamey National HospitalGeneral Referral HospitalFaculty of Health Sciences, Abdou Moumouni UniversityGeneral Referral HospitalGeneral Referral HospitalGeneral Referral HospitalFaculty of Health Sciences, Abdou Moumouni UniversityAbstract Background Adenomatoid tumor is a very rare benign neoplasm of mesothelial origin affecting mainly female and male genital tracts. The diagnosis is challenging as this tumor mimics many differential diagnoses. The current literature offers only some case reports and short series of adenomatoid tumors. Case presentation A 47-year-old patient with unremarkable medical history presented for chronic mild pain of the right testis evolving for months. The physical examination shows a palpable right intrascrotal nodule of 10 mm in greatest diameter. The nodule was painful, mobile with firm consistency. The laboratory investigations were within normal limits, the scrotal ultrasonography showed a well-circumscribed predominantly hyperechoic intrascrotal nodule in the right epididymal head with heterogeneous echostructure. Excisional biopsy of the lesion was performed and the histopathological analysis showed a well-circumscribed tumor with microcystic and trabecular architecture made of small interconnected tubules and cysts lined by flattened cells with prominent vacuolization and thread-like bridging strands, consistent with an epididymal adenomatoid tumor. The postoperative course was uneventful and the patient was discharged. Four months after surgical treatment, the patient has no sign of the disease. Conclusion Testicular adenomatoid tumors are uncommon benign neoplasms with diagnostic challenge. Adenomatoid tumors arising in epididymis are managed by excisional biopsy with testis-sparing surgery avoiding unnecessary orchidectomy.https://doi.org/10.1186/s12301-022-00329-zTestisEpididymisAdenomatoid tumorHistopathology |
| spellingShingle | Boubacar Efared Idrissa Boubacar Djibo Soumana Aïchatou Balaraba Abani Bako Idrissa Seriba Coulibaly Hamadou Halidou Koura Habiba Salifou Boureima Hassan Nouhou Epididymal adenomatoid tumor: a case report and literature review African Journal of Urology Testis Epididymis Adenomatoid tumor Histopathology |
| title | Epididymal adenomatoid tumor: a case report and literature review |
| title_full | Epididymal adenomatoid tumor: a case report and literature review |
| title_fullStr | Epididymal adenomatoid tumor: a case report and literature review |
| title_full_unstemmed | Epididymal adenomatoid tumor: a case report and literature review |
| title_short | Epididymal adenomatoid tumor: a case report and literature review |
| title_sort | epididymal adenomatoid tumor a case report and literature review |
| topic | Testis Epididymis Adenomatoid tumor Histopathology |
| url | https://doi.org/10.1186/s12301-022-00329-z |
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