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2016, Number 2

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Revista Habanera de Ciencias Médicas 2016; 15 (2)

Adenomatous tumor of epididymis. Case presentation

Rodríguez CTL, Germán MJL, García GML

Language: Spanish
References: 11
Page: 225-234
PDF size: 199.06 Kb.


ABSTRACT

Introduction: the adenomatous tumor is the most common of the solid tumors of the epididymis. It is of benign nature and is not well known its origin yet.
Objective: to show a new case of adenomatous tumor of the epididymis, the diagnostic sequence, used therapeutic procedure and the differential diagnostic.
Case presentation: patient of 39 years old with antecedents of health that assisted to the outpatient clinic of Urology in the Multi proposal Clinic of Luanda, because increased painless and volume of the right hemi scrotal sac of 4 years of evolution. It did not refer traumatisms or previous inflammatory genital processes. To the physical examination confirmed the presence of a spherical tumor in the head of the right epididymis, around 4 cm of diameter with firm consistency. The homolateral testicle, as well as the contralateral epididymis and the testicle, were normal. The echography revealed a heterogeneous mass, well delimited and little vascularized. The nuclear magnetic resonance denoted an tumor low intense in weighted images in T1, and high intense in weighted images in T2 after the administration of the contrast. The fine needle aspirate biopsy was negative of neoplastic cells. The total excision of the tumor was performed, road Trans scrotal, without complications. Histopathological report of the surgical piece corroborated adenomatous tumor, the patient going on satisfactorily.
Conclusions: the adenomatous tumor of epididymis is infrequent. The echography and the Magnetic Resonance Image are useful for the image study. The fine needle aspirate biopsy allows to obtain the pre-surgical histological diagnostic. The treatment of election is the total excision.


REFERENCES

  1. Golden A, Ash JE. Adenomatoid tumors of the genital tract. Am J Path. [Internet]. 945 Jan21 (1): [about 17 p.]. [Cited 2015 Apr 24]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1934086/

  2. Bestard Vallejo JE, Tremps Velázquez E, Blázquez Mañá C, Celma Doménech A, De Torres Ramírez I, Morote Robles J. Tumor adenomatoide de epidídimo: El tumor más frecuente de las estructuras paratesticulares. Actas Urol Esp. [Internet]. 2008;32 (6): [aprox 7 p.]. [Citado 24 Abr 2015]; Disponible en: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13143455&pid ent_usuario=0&pcontactid=&pident_revista=292&ty=53&accion=L&origen=zonadelec tura&web=www.elsevier.es&lan=es&fichero=292v32n06a13143455pdf001.pdf

  3. Álvarez Maestro M, Tur González R, Alonso Dorrego M, De la Peña Barthel J, Matín de Serrano MN. Tumor adenomatoide de epidídimo e intratesticular: A propósito de nueve casos clínicos y revisión de la literatura. Arch Esp Urol. [Internet]. 2009; 62 (2): [aprox 5 p.]. [Citado 24 Abr 2015]. Disponible en: http://aeurologia.com/articulo_prod.php?id_art=5907577471607

  4. Rodríguez Collar TL. Diagnóstico y tratamiento de los tumores del epidídimo. Rev Cubana Med Milit. [Internet]. 2014; 43 (3): [aprox 18 p.]. [Citado 24 Abr 2015]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572014000300009&lng=es&nrm=iso&tlng=es

  5. González Resina R, Carranza Carranza A, Congregado Córdoba J, Conde Sánchez JM, Congregado Ruiz CB, Medina López R. Tumor adenomatoide paratesticular: Una serie de nueve casos. Actas Urol Esp. [Internet].2010; 34 (1): [aprox 6 p.]. [Citado 24 Abr 2015]. Disponible en: http://www.elsevier.es/es-revista-actas-urologicasespanolas- 292-articulo-tumor-adenomatoide-paratesticular-una-serie-13147884

  6. Pila Pérez R, Rosales Torres P, Pila Peláez R, Holguín Prieto V, Torres Vargas E. Tumor adenomatoide de epidídimo: Una infrecuente observación. Arch Esp Urol. [Internet]. 2009; 62 (8): [aprox 5 p.]. [Citado 24 Abr 2015]. Disponible en: http://aeurologia.com/articulo_prod.php?id_art=3546151884593

  7. Cordeiro González P, Pérez Fuentes DA, Carrera Álvarez JJ, Puñal Pereira A. Tumor adenomatoide paratesticular: Aportación de 5 casos y revisión de la literatura. Arch Esp Urol. [Internet]. 2014 Oct 67 (8): [aprox 4 p.]. [Citado 24 Abr 2015].Disponible en: http://aeurologia.com/articulo_prod.php?id_art=2222182333847

  8. Vishwanath TT, Singh S, Shetty SMCC, Ajay MK. Adenomatoid tumour of the epididymis: A case report. NJR. [Internet]. 2013 Jan- Jun; 3 (4): [about 4 p.]. [Cited 2015 Apr 24]. Available from: http://njrnepal.org/4th%20issue%20011%20dr%20simran%20adenomatoid%20tum our.pdf

  9. Gupta A, Livingston M, Singh R, Tansey D, Solomon L. Infarcted adenomatoid tumour of epididymis: A rare case report. Case Rep Urol. [Internet]. 2013;[about 3 p.]. [Cited 2015 Apr 24]. Available from: http://www.hindawi.com/journals/criu/2013/937689/

  10. Shah VB, Shet TM, Lad SK. Fine needle aspiration cytology of epididymal nodules. J Cytol. [Internet]. 2011 Jul- Sep ; 28 (3): [about 5 p.]. [Cited 2015 Apr 24].Available from: http://www.ncbi.nlm.nih.gov/pubmed/21897542

  11. Gupta S, Garg S, Agarwal R, Sen R. Aspiration cytology of adenomatoid tumor of epididymis: An important diagnostic tool. J Surg Case Rep. [Internet]. 2012 Apr; 4: 11. [Cited 2015 Apr 24]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649525/pdf/jscr-2012-4-11.pdf




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