Papillary adenocarcinoma of the rete testis: sonographic findings

Smith, SJ; Vogelzang, RL; Smith, Wm. Abbotts; Moran, MJ

doi:10.2214/ajr.148.6.1147

Cited by 13 publications

(4 citation statements)

References 7 publications

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“…Findings reported on sonographic examination include nodular septations with cystic solid components, which would suggest a neoplastic rather than dysplastic process [19]. However, laboratory tests should be carried out to exclude other malignancies.…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma of the rete testis

et al. 1996

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Adenocarcinoma of the rete testis is a rare tumor. Histologic diagnosis is difficult, and in the past the tumor may have been incorrectly identified in a number of cases, leading to misleading information on the nature and behavior of this neoplasm. We present the case of a 39-year-old man with a long history of a small left hydrocele, who was lost to follow-up and presented again 2 years later with testicular discomfort. Sonographic findings were consistent with a testicular tumor. Histology confirmed low-grade adenocarcinoma of the rete testis, the first reported tumor of this grade. Previously reported cases of rete testis carcinoma are reviewed.

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Section: Discussionmentioning

confidence: 99%

Adenocarcinoma of the rete testis

et al. 1996

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“…Benign conditions include cystic dysplasia, testicular epidermoid cysts, simple testicular cysts, tunica albuginea cysts, and intra-testicular varicoceles. Malignant conditions which mimic TERT on imaging mainly include mature cystic teratomas, papillary adenocarcinomas of the rete testis, and metastatic tumors within the ducts of the epididymis (Table 2) [1,[8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Papillary adenocarcinoma of rete testis [15] It is a malignant condition arises from the intra-testicular excretory ducts. It could present as solid or cystic lesion, and should be included as a differential of cystic intra-testicular masses.…”

Section: Malignant Conditionsmentioning

confidence: 99%

Bilateral Ductal Ectasia of the Rete Testis: A Case Report and Literature Review

Omer¹,

Engelman²,

Krauthamer³

et al. 2017

Reprod Syst Sex Disord

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A 58-year-old male presented to the emergency department with right scrotal pain and swelling. The patient's past medical history of epididymitis was unraveled. A multiplanar grayscale sonogram with Doppler scan of the scrotum and intra-testicular arterial pulse waveform was performed which demonstrated features of tubular ectasia of the rete testis. There was increased flow at the epididymal head which prompted the possibility of an inflammatory process consequently antibiotic therapy was administered. Tubular ectasia of the rete testis is a benign condition usually found incidentally, it has a prevalence of 1.64% in the population. This condition can be associated with a history of trauma, surgery, and inflammatory or infectious conditions. In case there is a suspicion of malignant etiology, magnetic resonance imaging (MRI) is used for better tissue differentiation. Keywords: Scrotal pain; Doppler scan; Epididymal head; Testes Case ReportA 58-year-old male presented to the emergency department with right scrotal pain and swelling. The pain was severe, gradually progressive, radiated to the groin, and worsened with touch and movement. There was associated bilateral scrotal swelling and dysuria without fever, rash, or penile discharge. Our patient reported recurrent similar but less severe symptoms, as well as a history of epididymitis two years before presentation. A multiplanar grayscale ultrasound with color Doppler of the scrotum and intra-testicular arterial pulse wave was performed, which demonstrated normal homogenous echotexture bilaterally with no evidence of intra-testicular masses. Both testes demonstrated grossly symmetric color Doppler flow with normal intra-testicular arterial waveforms. A small anechoic left epididymal head cyst without evidence of a hydrocele was visualized (Figures 1 and 2). There were right and left tubular anechoic lesions located at the mediastinum testis, more prominent on the right, consistent with tubular ectasia of the rete testes. The right epididymal head demonstrated asymmetric increased color Doppler flow compared to the left, consistent with an inflammatory or infectious process.

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“…Urol.29(1998) Eine eindeutige Therapiestrategie läßt sich aus den bisher publizierten Einfallberichten nicht ableiten. Insgesamt scheint eine aggressive Therapie notwendig zu sein, um die Chancen für die Patienten zu verbessern, wobei einige Autoren einen entscheidenden Vorteil für Patienten sehen, die einer retroperitonealen Lymphadenektomie unterzogen wurden [6,7].…”

Section: Introductionunclassified