Gruczolakowłókniakomięśniak jądra – zastosowanie magnetycznego rezonansu jądrowego do oceny złośliwości guza i ustalenia wskazań do jego wycięcia
Article published in Urologia Polska 2008/61/2.

authors

Sahin Kabay, Mehmet Yucel, Orhan Ozbek, Esra Gurlek Olgun

Dumlupinar University Faculty of Medicine, Department of Urology, Turkey
Dumlupinar University Faculty of Medicine, Department of Radiology, Turkey
Dumlupinar University Faculty of Medicine, Department of Pathology, Turkey

keywords

testicular tumor adenomatoid MRI local excision

summary

Adenomatoid tumors are rare benign neoplasms and usually local excision therapy is sufficient. A 28 year-old man presented with

two months history of painless and slowly growing left scrotal mass. Physical examination and ultrasonogram did not exclude an

intratesticular lesion. A mass which arose from tunical surface was found in MRI investigation. The local mass excision with inguinal

incision was performed. Histological examination of the biopsy specimen revealed an adenomatoid tumor growing down into the

testicular tissue from the inner surface of the tunica albuginea. Adenomatoid tumors are rare benign neoplasms of mesothelial origin

and commonly found near the lower pole of the testis and usually arise in the epididymis. Recent studies showed that adenomatoid

tumor has provided immunohistochemical evidence indicating a mesothelial cell origin. MRI findings can be useful in suggesting that

the palpable mass arose from tunical surface or in the testis. So, MRI findings should be considered in evaluation of benign scrotal

mass and in decision of organ-sparing surgery for intratesticular neoplasm.

references

correspondence