Primary neoplasms of the epididymis are quite rare, but most have benign and cystic natures. Papillary cystadenoma of the epididymis occurs most often in young adults and produces either mild local discomfort, dull pain or no symptoms. This tumor has characteristic histopathologic findings which show affinities to many of the mesonephric tumors of the female genital tract. It is experienced a case of papillary cystadenoma of the left epididymis in young man who was treated with reselection of adenomatoid tumor at the same site one year ago. Authors report a case of papillary cystadenoma which was resected with good result and review of the literature.