First report of testis‐sparing surgery for sertoliform cystadenoma: case presentation and review of literature

Abstract

Introduction: Sertoliform cystadenoma is a very rare, benign lesion of the rete-testis difficult to distinguish from other malignancies of the testicle. Case presentation: We present the case of a 42-year-old male who presented with a right testicular mass, asymptomatic for 1 year. Clinical examination revealed a palpable, painless, and well-delimited right testicular superior pole nodule. Testicular ultrasound confirmed the nodule, whereas serum tumoral markers were normal. The patient underwent inguinal partial orchiectomy. Intraoperative excisional biopsy and frozen section pathology were performed, reporting undetermined tumoral origin with negative surgical margins. Ischemia time was 12 minutes. The final pathology report showed a Sertoliform cystadenoma of rete testis, with immunomorphology positive for AE1, CK7, and negative surgical margins. Conclusion: To our knowledge, this is the first report of testicular sparing surgery for Sertoliform cystadenoma, a very rare benign tumor of rete testis. All previously reported cases were managed by radical inguinal orchidectomy.

Testis sparing surgery for testicular masses: fact or fiction?

“…However, this procedure has previously been described for other rare benign testicular tumors, such as sertoliform cystadenoma (8). In both cases, no immediate or long-term postoperative complications were reported (4,8). Although limited case series, these results are encouraging for the implementation of this surgical technique.…”

“…Razvan-George Rahota 1,2 ^, Ambroise Salin 3 , Diana-Maria Rahota The authors report the first testicular sparing surgery for myoid gonadal stromal tumor in literature, a rare benign finding in the wide spectrum of testicular masses (4). However, this procedure has previously been described for other rare benign testicular tumors, such as sertoliform cystadenoma (8). In both cases, no immediate or long-term postoperative complications were reported (4,8).…”