Journal List > Korean J Urol > v.49(7) > 1005151

Shin, Yun, Lee, Kwak, and Cho: Adenomatoid Tumor of the Spermatic Cord

Abstract

Adenomatoid tumors are rare benign neoplasms thought to be of mesothelial origin. Although most reported cases developed from the epididymis, rare cases have been reported in the testicular tunica, spermatic cord and ejaculatory ducts. Because of the benign nature of this tumor, the treatment of choice is local excision. We report a rare case of adenomatoid tumor of the spermatic cord treated by local excision.

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Fig. 1.
Scrotal ultrasonogram revealing an approximately 2.5x2.0 cm, oval shaped, well demarcated, heterogeneous echogenic mass in the spermatic cord.
kju-49-650f1.tif
Fig. 2.
Grossly, a well-defined mass (2.8x2.5x2.0cm) was found with a grayish white, slightly myxoid, cut surface.
kju-49-650f2.tif
Fig. 3.
Variable sized cystic spaces lined by flat to cuboidal epithelium and embedded in a delicate fibrovascular stroma infiltrated by inflammatory cells (H&E, x100).
kju-49-650f3.tif
Fig. 4.
Microscopic findings. (A) The tumor cells show strong positive staining for cytokeratin (x200). (B) The tumor cells show strong positive staining for calretinin (x200).
kju-49-650f4.tif
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