2018, Number 5
Giant cyst of the tunica albuginea
Peña-Ruelas CI, Rentería-Manzanilla MM, de la Rosa-Vélez EE
Language: Spanish
References: 8
Page: 385-388
PDF size: 338.64 Kb.
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.
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