Epididymal Adenomatoid Tumor: A Very Rare Paratesticular Tumor of Childhood

Abstract

Adenomatoid tumor is an uncommon benign mesothelial neoplasm, usually localized in the epididymis. It is the most common paratesticular tumor of middle-aged patients (average age of clinical presentation: 36 years). However, these tumors in pediatric and pubertal patients are extremely rare. Due to their rarity, we present a case of adenomatoid tumor of the tail of the epididymis in a 16-year-old patient. After systematic research of the current literature, we did not find another case report of epididymal adenomatoid tumor in a male patient aged 16 years old or less. This notice and our concern, as well, about the patient's surveillance protocol during the postoperative period were the motive for this case study.

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“…This case illustrates how MRI evaluation may provide additional morphologic evidence to allow precise localization of the origin of the mass, may also show contrast-enhancement features that enable further confidence of a benign diagnosis, and may allow conservative management. Given its benign nature, the standard treatment of PARATESTICULAR ADENOMATOID TUMOR consists of tumor excision with preservation of the testis, promoting fertility and maintaining the production of testosterone [7]. The present case serves to recall a preponderance of benign paratesticular tumors, alerting the surgeon for the importance of the testicular preservation decision, whenever feasible (Figure 1-3).…”

Parameatal Urethral Cyst in a Newborn–A Case Report and Review of the Literature

“…Although the cysts may be recognized in infancy, usually they manifest after the first year of life. Patients however, present seeking treatment in their early to late childhood but also during the pre-pubertal period [4][5][6].…”

“…In the paediatric population they usually follow an asymptomatic course. The management is conservative with reassurance of the parents that the cyst will probably resolve and for its benign nature [4,5].…”

“…Another issue is whether the location of the cyst produces voiding problems, deflection of urinary stream or obstructive phenomena during urination [5]. This is almost never encountered if the cyst is discovered in the neonatal period but there have been cases in older patients that they complained for such symptoms [4,5,7]. Surgical management is selected in cases that the cyst does not resolve and usually during childhood or adolescence when it creates symptoms or for cosmetic reasons [4,7,9].…”

“…The epithelium of the cyst can be transitional, cuboidal, columnar and squamous or a combination of epithelial types [4][5][6][7]9]. The aetiology of the cysts is unclear and several theories exist.…”