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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2018, Number 5

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Rev Mex Urol 2018; 78 (5)

Giant cyst of the tunica albuginea

Peña-Ruelas CI, Rentería-Manzanilla MM, de la Rosa-Vélez EE
Full text How to cite this article

Language: Spanish
References: 8
Page: 385-388
PDF size: 338.64 Kb.


Key words:

Intratesticular cyst, Tunica albuginea.

ABSTRACT

Background: Cysts of the tunica albuginea are benign tumors with an incidence that varies from 0.3 to 0.76%. The majority of cases are classified as intratesticular and average size is 2 to 5 mm. When the cysts are very large, due to location and size, they can be misinterpreted as malignant.
Clinical case: A 55-year-old man presented with progressive enlargement of the left testicular region of 30-year progression. Ultrasound and computed tomography studies identified a well-defined, heterogeneous cystic tumor that compressed the left testis, for which orchiectomy was performed. The anatomopathologic study confirmed a 20 × 16 cm, unilocular cyst with fluid content, located in the tunica albuginea. Microscopically, it was lined with a flat or cuboidal epithelium with no atypia. Diagnosis was a cyst of the tunica albuginea.
Conclusion: Treatment of cysts of the tunica albuginea may vary according to size and symptomatology. The case presented herein is the largest cyst of the tunica albuginea to yet be reported.


REFERENCES

  1. Chou SJ, et al. Cyst of the tunica albuginea. Arch Androl 2004;50:89-92.

  2. Martínez-Berganza MT, et al. Cyst of the tunica albuginea: sonographic appearance. AJR AM J Roentgenol 1998;170:183-185. DOI: 10.2214/ajr.170.1.9423628

  3. Tanaka K, et al. Benign cystic lesion of the tunica albuginea: a case report. Hinyokika Kiyo Urol 2004;50:45-48.

  4. Alvarez DM, et al. Sonographic spectrum of the tunica albuginea cyst. J Clin Imaging Sci 2011;1:1. DOI: 10.4103/2156- 7514.73503

  5. Rodríguez-Patrón, R, et al. Ecografía testicular. Arch Esp Urol 2006;59(4):441-454. URL: .

  6. Aminu S, et al. Large tunica albuginea cyst mimicking a large hydrocele with a unique ultrasound feature. Cent European J Urol 2011;64(3):184-185. DOI: 10.5173/ ceju.2011.03.art21

  7. Valentino M, et al. Cystic lesions and scrotal fluid collections in adults: ultrasound findings. J Ultrasound 2011;14:208- 215. DOI: 10.1016/j.jus.2011.10.008

  8. Velasco-Ruiz M, et al. Evaluación ecográfica de la patología testicular más frecuente. EuroEco 2010;1(3):49-54. URL: < http://www.euroeco.org/vol1_num3_septb2010/ pdf/49_54.pdf >.




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Rev Mex Urol. 2018;78