Simple Cyst of the Testis: Case Report and Review of the Literature

Tosi, Stephen E.; Richardson, John R.

doi:10.1016/s0022-5347(17)67061-7

Cited by 29 publications

(10 citation statements)

References 5 publications

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“…The increasing use of sonography has revealed a ~--' BRITISH JOURNAL OF UROLOGY higher incidence of simple intratesticular cysts (Rifkin and Jacobs, 1983;Chang et a/., 1987;Hamm eta/., 1988;Kratzik eta/., 1988;Kratzik et a/., 1990) than that reported in earlier publications (Schmidt, 1966;Tosi and Richardson, 1975;Takihara et a/., 1982). Morphologically, the cysts are filled with a clear serous liquid with no cellular elements and lined by cylindrical epithelium.…”

Section: Discussionmentioning

confidence: 95%

High Resolution Ultrasonography in the Diagnosis of Simple Intratesticular Cysts

Höbarth

Kratzik

1992

British Journal of Urology

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Simple intratesticular cysts are a rare condition. High resolution sonography permits unequivocal sonographic differentiation between intratesticular cysts and neoplastic lesions with a cystic appearance, so that conservative treatment seems justified. Seventeen patients with sonographically diagnosed intraparenchymal testicular cysts were followed up for an average of 29 months. No increase in size or change in echo pattern was found and surgical therefore not indicated.

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Section: Discussionmentioning

confidence: 95%

High Resolution Ultrasonography in the Diagnosis of Simple Intratesticular Cysts

Höbarth

Kratzik

1992

British Journal of Urology

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“…The first case of simple testicular cyst in infants was reported by Schmidt in 1966 in a 5-monthold infant (Schmidt, 1966). The first case of simple testicular cyst in adults was reported Tosi and Richardson in 1975 in a 58-year-old man (Tosi & Richardson, 1975). From 1966 to 2004, fewer than 50 cases of simple testicular cyst were reported in total (Ceylan et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Strategy for Treating Simple Testicular Cyst in Adults

et al. 2010

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Simple testicular cyst is increasingly diagnosed because of the general availability of high-resolution ultrasound devices, although its management has been controversial. The authors report their experiences in managing large simple testicular cyst in two adults aged 56 and 68 years. The first patient was hospitalized with a presumptive diagnosis of left hydrocele, and the second patient was hospitalized with left simple testicular cyst. Both patients felt pain in the left scrotum. The maximum diameter of the cyst in both patients was more than 6 cm. The patients were successfully treated with orchiectomy with very good long-term results. The authors indicate that a careful study of the medical history, physical examination, and scrotal ultrasonography may facilitate an accurate preoperative diagnosis. Age, symptom, compliance with the surveillance of the patient, and the size and dynamic ultrasonographic changes of the cyst should all be considered in the selection of the treatment regimen. Such a study may be helpful in managing a simple testicular cyst.

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“…A simple intratesticular cyst must fulfil the following histological characteristics; it must lie within the parenchyma of the testis; it must contain clear fluid free from sperm and be surrounded by a wall lined by flat or cuboid epithelium; the wall must be separated from the tunica albuginea and neither the wall nor the parenchyma should contain teratomatous elements; the rest of the testis should show no evidence of chronic inflammation or fibrosis [5–7] (Fig. 1a).…”

Section: Histological Characteristicsmentioning

confidence: 99%

“…One suggestion is that the cause may be associated with the patient's age and thus simple cysts can be divided into two main types; an infant type caused by congenital anomaly (arising from the remnants of the Müllerian and Wolffian ducts); and an adult type caused by trauma (e.g. as in Barach's dog [4]), or infection, where it is believed that an infective process may cause occlusion resulting to a cystic tumour (gonorrhoea infecting the vas deferens and epididymis) [5–8]. However, on reviewing the literature, many of the cases did not occur after trauma or infection and therefore their aetiology is unknown.…”

Section: Aetiological Hypothesesmentioning

confidence: 99%