Adult granulosa cell tumor of the testis masquerading as hydrocele

Vallonthaiel, Archana George; Kakkar, Aanchal; Singh, Animesh; Dogra, Prem Nath; Ray, Ruma

doi:10.1590/s1677-5538.ibju.2014.0187

Cited by 6 publications

(4 citation statements)

References 16 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Due to impalpable testis they proceeded with ultrasonography which depicted a heterogeneous cystic mass with subsequent orchiectomy revealing mature teratoma (11). There was also a recent report of a case of adult germ cell testicular tumor with again sonographic features suggestive of hydrocele (12). Recently, Trenti et al cited an infrequent case of mesothelioma of the tunica vaginalis testis, secondarily diagnosed during hydrocele surgery.…”

Section: Discussionmentioning

confidence: 99%

Be cautious of “complex hydrocele” on ultrasound in young men

Symeonidis

Sountoulides²,

Asouhidou³

et al. 2020

Arch Ital Urol Androl

View full text Add to dashboard Cite

Hydrocele is the most common benign cause of painless scrotal enlargement and only very rarely can be reactive to an underlying testicular tumor. We present the case of a healthy young man, complaining of mild left scrotal discomfort and swelling. Physical examination revealed a non-tender fluctuant left scrotum and serum tumor markers were normal. Scrotal ultrasonography (US) showed a normal right hemiscrotum and testicle and a fluid collection among thickened irregular septations in the left hemiscrotum, a finding which was considered as a complex hydrocele. Intraoperatively the presumed “complex hydrocele” was in fact a multicystic testicular tumor. We proceeded with orchiectomy through the scrotal incision and pathology revealed a mixed germ cell tumor of the testis consisting of cystic teratoma, in situ germ cell neoplasia unclassified (IGCNU) and Sertoli cell tumor. This is the first reported case of this type of testis tumor presenting as complex hydrocele. The aim of this case presentation is to underline the need for an accurate preoperative diagnosis in cases of suspected scrotal pathology in young males.

show abstract

Section: Discussionmentioning

confidence: 99%

Be cautious of “complex hydrocele” on ultrasound in young men

Symeonidis

Sountoulides²,

Asouhidou³

et al. 2020

Arch Ital Urol Androl

View full text Add to dashboard Cite

show abstract

“…Apparently benign hydrocele can be etiologically associated with embryonal testicular tumors or precede their development ( 16 ) in the case of mesothelioma of the tunica vaginalis testis ( 17 ) , metastases, e.g. adenocarcinomas ( 18 ) , granulosa cell tumor ( 19 ) , as well as rhabdomyosarcoma ( 20 ) and other ( 21 ) . A hydrocele can sometimes indicate the presence of post-traumatic lesions or partial pedicle torsion ( 22 ) .…”

Section: Abnormal Scrotal Fluid Reservoirsmentioning

confidence: 99%

“…Pozornie łagodny wodniak w swej etiologii może wiązać się z guzami zarodkowymi jąder bądź wyprzedzać ich pojawienie się (16) w przypadku międzybłoniaka wyrostka pochwowego jąder (17) , zmian przerzutowych, np. gruczolakoraków (18) , granulosa cell tumor (19) , jak również w przypadku zmian o typie rhabdomyosarcoma (20) oraz innych (21) . Niekiedy wodniaki są wyrazem zmian o charakterze pourazowym lub niecałkowitych skrętów szypuły jader (22) .…”

Section: Nieprawidłowe Zbiorniki Płynowe W Worku Mosznowymunclassified

Standardy badania ultrasonograficznego moszny

Tyloch

Wieczorek

2016

J Ultrason

View full text Add to dashboard Cite

The paper presents a description of essential equipment requirements for scrotal ultrasonography, including current ultrasound techniques, as well as a review of the most common scrotal pathologies. Patient preparation for the examination as well as ultrasound methodology for the assessment of scrotal and inguinal canal structures are discussed. The standard for scrotal ultrasound examination includes a precise B-mode evaluation, including testicular volumetric assessment performed using automatic measurement options based on the formula of a rotating ellipsoid or three measurements perpendicular to one another. Also, criteria for morphological assessment of abnormalities within testicular or epididymal parenchyma, including a precise evaluation of lesion size, delineation, shape and vascular pattern obtained with Doppler US, have been proposed. Standard assessment further includes epididymal evaluation, including epididymal size in the case of enlargement. The paper additionally discusses the method of ultrasonographic examination and describes the most common pathologies occurring within scrotal structures, including a quantitative analysis of hydrocele and other abnormal fluid reservoirs. We have also presented criteria for the assessment of varicocele as well as color and spectral Doppler flows in scrotal pathologies. Furthermore, we have proposed key components of scrotal ultrasound documentation, so that the contained data could be used to establish appropriate diagnosis, allowing for both adequate clinical management and the reproducibility of subsequent US evaluations performed by either the same or a different examiner. The most common causes of diagnostic errors have also been discussed.

show abstract

“…Stromal testicular tumors (including Sertoli and Leydig cell tumors) account for only 4% of all testicular tumors, and GCTs are the rarest of testicular stromal tumors [ 2 ]. A literature review by Schubert et al in 2014 found only 43 cases of adult GCT described to date, and six additional reports have been made since [ 3 – 7 ]. Most cases of adult GCT present as a painless testicular mass.…”

Section: Introductionmentioning

confidence: 99%

Metastatic Granulosa Cell Tumor of the Testis: Clinical Presentation and Management

Mohapatra

Potretzke

Knight

et al. 2016

Case Reports in Urology

View full text Add to dashboard Cite

Granulosa cell tumors (GCTs) of the testis are rare sex cord-stromal tumors that are present in both juvenile and adult subtypes. While most adult GCTs are benign, those that present with distant metastases manifest a grave prognosis. Treatments for aggressive GCTs are not well established. Options that have been employed in previous cases include retroperitoneal lymph node dissection (RPLND), radiation, chemotherapy, or a combination thereof. We describe the case of a 57-year-old man who presented with a painless left testicular mass and painful gynecomastia. Serum tumor markers (alpha fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase) and computed tomography of the chest and abdomen were negative. The patient underwent left radical orchiectomy. Immunohistochemical staining was consistent with a testicular GCT. He underwent a left-template laparoscopic RPLND which revealed 2/19 positive lymph nodes. Final pathological stage was IIA. He remains free of disease 32 months after surgery.

show abstract

Adult granulosa cell tumor of the testis masquerading as hydrocele

Cited by 6 publications

References 16 publications

Be cautious of “complex hydrocele” on ultrasound in young men

Be cautious of “complex hydrocele” on ultrasound in young men

Standardy badania ultrasonograficznego moszny

Metastatic Granulosa Cell Tumor of the Testis: Clinical Presentation and Management

Contact Info

Product

Resources

About