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Anales de Pediatria Jul 2019
Topics: Adolescent; Epididymis; Humans; Male; Spermatic Cord Torsion; Spermatocele
PubMed: 31280817
DOI: 10.1016/j.anpedi.2018.05.019 -
La Pediatria Medica E Chirurgica :... Jun 2019Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually... (Review)
Review
Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually conservative. Many cases (up to 60%) regress spontaneously, especially if below 3 cm. Few cases have been reported in Literature (7 cases/2018). We add our patient as eighth case. He was a 13-year-old boy who was admitted for acute scrotum. Ultrasound excluded torsion of the testis and he was managed for 5 day conservatively. Based on clinical history and physical exam, we decided to perform a prompt surgery that revealed a torsion of epididymal cyst that was confirmed by histological exam.
Topics: Acute Disease; Adolescent; Humans; Male; Scrotum; Spermatic Cord Torsion; Spermatocele; Ultrasonography
PubMed: 31232012
DOI: 10.4081/pmc.2019.210 -
Journal of Medical Ultrasound 2018
PubMed: 30662157
DOI: 10.4103/JMU.JMU_32_18 -
International Journal of Surgery Case... 2018Giant spermatocele,testis and spermatic cord as content of sac in an indirect hernia is extremely rare. These are congenital in.nature.
INTRODUCTION
Giant spermatocele,testis and spermatic cord as content of sac in an indirect hernia is extremely rare. These are congenital in.nature.
CASE REPORT
A 61 year old male was diagnosed as a case of giant spermatocele.Exploration documented giant spermatocele and an indirect inguinal hernia of complete type with the testicle, cord and spermatocele as a content of herrnia sac Excision of spermatocele with placement of cord outside sac was done.This is a first kind of case report with new type of hernia reported with cord as content.
CONCLUSION
Giant spermatocele is to be excised.Testis and spermatic cord inside hernia sac have to be made extrasacal to prevent recurrence.
PubMed: 30567053
DOI: 10.1016/j.ijscr.2018.11.031 -
Journal of Cancer Research and... Dec 2018Paratesticular rhabdomyosarcoma (RMS) is a rare nongerm cell intrascrotal malignant tumor in children and young adult/teens resulting from the mesenchymal tissues of the...
Paratesticular rhabdomyosarcoma (RMS) is a rare nongerm cell intrascrotal malignant tumor in children and young adult/teens resulting from the mesenchymal tissues of the tunica vaginalis, epididymis, spermatic cord, and testis. RMS accounts for approximately 7% of all genitourinary tract RMSs and 12% of all pediatric scrotal neoplasms. Patients usually present with a painless unilateral scrotal mass. We report a 16-year-old boy with a paratesticular RMS mimicking epididymal cyst. To our knowledge, this is the first case reported in the literature presenting as an epididymal cyst.
Topics: Adolescent; Diagnosis, Differential; Epididymis; Genital Neoplasms, Male; Humans; Male; Orchiectomy; Rhabdomyosarcoma; Scrotum; Spermatocele; Testis; Tomography, X-Ray Computed; Ultrasonography
PubMed: 30539881
DOI: 10.4103/0973-1482.183553 -
Medical Principles and Practice :... 2019To present case of a child with epididymal dirofil-ariasis.
OBJECTIVE
To present case of a child with epididymal dirofil-ariasis.
CLINICAL PRESENTATION AND INTERVENTION
An 11-year-old boy was admitted to the Clinic of Pediatric Urology for elective surgery treatment of epididymal cyst on the left side. After removal, the cyst was sent for histological examination. Microscopic examination of the histological slides revealed cross-sections of a nematode belonging to Dirofilaria spp., differentiated morphologically as D. repens. After surgery, the patient recovered completely.
CONCLUSIONS
In most parts around the world, dirofilariasis is a rare and neglected infection. Nevertheless, the clinicians and pathologists must be informed about it.
Topics: Animals; Bulgaria; Child; Dirofilaria; Dirofilariasis; Humans; Male; Spermatocele
PubMed: 30332673
DOI: 10.1159/000494619 -
La Pediatria Medica E Chirurgica :... May 2018Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ,... (Review)
Review
Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ, frequently in the region of the head. Torsion of these cysts is extremely rare in both children and adults, causing acute scrotal swelling. The diagnosis is intraoperative. A 16-year-old boy was referred to our Divisional Clinic by the treating physician for scrotal swelling appeared 4 months earlier. Absence of a history of minor scrotal trauma. Ultrasonography showed a 40×50 mm fluid-filled right para-testicular mass. We performed surgery finding a large black cyst connected to the head of the epididymis with 720°-degrees rotation. Histology revealed an acquired EC. The particularity of our case is due to the absence of symptoms in association with a big EC twisted of 720° degrees. This is the only case reported in literature. All patients with EC torsion reported presented symptoms related to acute scrotum.
Topics: Adolescent; Humans; Male; Scrotum; Spermatic Cord Torsion; Spermatocele; Testicular Diseases; Ultrasonography
PubMed: 29871476
DOI: 10.4081/pmc.2018.162 -
CytoJournal 2017Epididymal lesions are uncommon in clinical practice. Few case series has been described in the literature documenting the role of cytology in the evaluation of...
BACKGROUND
Epididymal lesions are uncommon in clinical practice. Few case series has been described in the literature documenting the role of cytology in the evaluation of epididymal nodules. This study was undertaken to analyze the cytomorphology of epididymal nodules and to evaluate role of fine-needle aspiration biopsy (FNAB) in early definitive diagnosis of epididymal nodules.
MATERIALS AND METHODS
A total of seventy cases of epididymal nodules were aspirated over a period of 6 years in the Department of Pathology. These cases were taken from the cytology record as a part of this study. The aspiration was performed using 22/23-gauge needle. Smears were stained with May-Grunwald-Giemsa and Papanicolaou stains. Special stains and immunocytochemistry were performed, wherever required.
RESULTS
The cytological features were adequate to establish the diagnosis in sixty cases. The lesions diagnosed were tuberculosis 16 (22.85%), spermatoceles 12 (17.14%), benign cystic lesion 8 (11.42%), encysted hydrocele 8 (11.42%), acute suppurative lesion 6 (8.57%), filariasis 4 (5.71%), chronic epididymitis 3 (4.28%), nodular fasciitis 1 (1.42%), epidermal inclusion cyst 1 (1.42%), and cystic adenomatoid tumor 1 (1.42%). Ten cases were inadequate to establish the diagnosis. FNAB was useful in diagnosis of 86% of cases. Infectious lesions of the epididymis were more common than neoplastic lesions. Patients with infection responded well to medical treatment.
CONCLUSIONS
FNAB is an easily available technique for palpable lesions of epididymis, and it helps in making an early, near definitive diagnosis of epididymal lesions. It also helps to avoid unnecessary surgical interventions and helps in timely management.
PubMed: 29259652
DOI: 10.4103/cytojournal.cytojournal_51_16 -
Clinical Genitourinary Cancer Oct 2017To present our single-institution experience with management of seven patients with mesothelioma of the tunica vaginalis.
OBJECTIVE
To present our single-institution experience with management of seven patients with mesothelioma of the tunica vaginalis.
MATERIALS AND METHODS
Our institution database was queried from 2003 to 2014. Clinical, surgical and pathological features were retrospectively collected and evaluated.
RESULTS
Seven patients were identified with tunica vaginalis mesothelioma. Average age at the time of diagnosis was 63.6 years. Four patients presented with hydrocele, one with scrotal mass, one with inguinal mass, and one with spermatocele. Two (28.6%) patients reported possible asbestos exposure. Radical orchiectomy was performed in all patients. Two patients received adjuvant radiotherapy, one patient received both chemotherapy and radiation. All patients were followed up postoperatively with serial imaging detect for recurrence. One of 7 patients in our cohort experienced recurrence at 12 months. Our mean follow-up time on these patients is 52.2 months.
CONCLUSION
Previous reported cases have described poor prognosis of tunica vaginalis mesothelioma despite aggressive surgery and systemic therapy. Our single-institution experience suggests relatively good outcomes with surgery and limited adjuvant therapies. Post treatment surveillance is also imperative and should include imaging routinely within the first 2 years. Negative asbestos exposure screening during history should not eliminate clinical suspicion.
Topics: Adult; Aged; Aged, 80 and over; Humans; Lung Neoplasms; Male; Mesothelioma; Mesothelioma, Malignant; Middle Aged; National Institutes of Health (U.S.); Orchiectomy; Survival Analysis; Testicular Neoplasms; Treatment Outcome; United States
PubMed: 28606736
DOI: 10.1016/j.clgc.2017.04.022 -
Case Reports in Endocrinology 2017Although whole body scan (WBS) with I-131 is a highly sensitive tool for detecting normal thyroid tissue and metastasis of differentiated thyroid cancer (DTC), it is...
Although whole body scan (WBS) with I-131 is a highly sensitive tool for detecting normal thyroid tissue and metastasis of differentiated thyroid cancer (DTC), it is not specific. Additional information, provided by single photon emission computed tomography combined with X-ray computed tomography (SPECT/CT) and by the serum thyroglobulin level, is extremely useful for the interpretation of findings. We report four cases of false positive WBS in patients with DTC: ovarian uptake corresponding to an endometrioma, scrotal uptake due to a spermatocele, rib-cage uptake due to an old fracture, and hepatic and renal uptake secondary to a granuloma and simple cyst, respectively. Trapping, organification, and storage of iodine are more prominent in thyroid tissue but not specific. Physiologic sodium-iodine symporter expression in other tissues explains some, but not all, of the WBS false positive cases. Other proposed etiologies are accumulation of radioiodine in inflamed organs, metabolism of radiodinated thyroid hormone, presence of radioiodine in body fluids, and contamination. In our cases nonthyroidal pathologies were suspected since the imaging findings were not corroborated by an elevated thyroglobulin level, which is considered a reliable tumor marker for most well-differentiated thyroid cancers. Clinicians should be aware of the potential pitfalls of WBS in DTC to avoid incorrect management.
PubMed: 28246564
DOI: 10.1155/2017/8568347