Benign cystic lesions in the testis of children

Liniger, Benjamin; Fleischmann, Achim; Zachariou, Zacharias

doi:10.1016/j.jpurol.2011.06.008

Cited by 11 publications

(4 citation statements)

References 45 publications

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“…Cysts of the testis are most often single and rarely multiple; they have anechoic appearance, clear margins and posterior wall thickening; if containing fixed echoic material, differential diagnosis should include cystic neoplasms such as cystic teratoma [11,12]. In effect, teratomas can present as solid, cystic, or mixed solid and cystic lesions [13]. Simple cysts developing in the virtual space of the vaginal cavity are mostly albuginea cysts; they rarely present a complex internal structure [11].…”

Section: Discussionmentioning

confidence: 99%

“…In case of juvenile granulosa cell tumor, US examination shows a multiseptated hypoechoic cystic lesion within the parenchyma of the testis, with a "Swiss cheese" appearance. The lack of calcifications favors a juvenile granulosa cell tumor over a teratoma [13]. A Leydig cell tumor is a small, hypoechoic, round intratesticular mass, which may demonstrate cystic areas and shows a prevalent peripheral vascularization; it is typical of older children and often presents with precocious puberty [15].…”

Section: Discussionmentioning

confidence: 99%

“…A Leydig cell tumor is a small, hypoechoic, round intratesticular mass, which may demonstrate cystic areas and shows a prevalent peripheral vascularization; it is typical of older children and often presents with precocious puberty [15]. In case of cystic lymphangioma, a complex multilocular, septated cystic mass without perfusion is demonstrated at US [13]. Neoplasia should be suspected if the scrotal mass appears to be solid, with dishomogeneous echotexture or high, irregular vascular pattern [16].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous regression of cystic dysplasia of the rete testis in an 18-month-old boy: the key role of ultrasonography

et al. 2019

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Cystic dysplasia of the rete testis (CDT) is a rare cause of scrotal swelling in children. It is a congenital disorder and it can be associated with other genitourinary abnormalities. At present, there is no clear consensus on treatment. Surgical approach has traditionally been the treatment of choice, while, more recently, conservative approach has been applied, justified by the benign nature of the lesion and after few cases of spontaneous regression have been documented. Ultrasonography, supported by negative tumor markers, plays a key role in the diagnostic work up and during observational follow-up. We report a further case of spontaneous regression of suspected CDT in an 18-month-old boy, who has been followed with clinic and ultrasonographic checks.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous regression of cystic dysplasia of the rete testis in an 18-month-old boy: the key role of ultrasonography

et al. 2019

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“…US is unable to reliably distinguish between benign and malignant tumors, however certain features may be predictive of histology (6,21). Most cystic lesions in children are benign (22). Well-circumscribed lesions containing hypoechoic or anechoic cystic areas with adjacent hyperechogenic and solid areas surrounded by normal testicular tissue are characteristic of teratoma (10,23).…”

Section: Patient Evaluation and Selectionmentioning

confidence: 99%

Partial orchiectomy vs. radical orchiectomy for pediatric testis tumors

Woo

Ross

2020

Transl Androl Urol

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While radical orchiectomy remains the gold standard for testicular cancer, partial orchiectomy has become a well-accepted organ-sparing approach for benign testicular tumors in pre-pubertal patients.The aims of testicular-sparing surgery include prevention of over-treatment, preservation of future hormonal and reproductive function, and provision of a durable cure. For pre-pubertal patients, who have a high likelihood of benign lesions, partial orchiectomy provides effective treatment, owing to the high reliability of scrotal ultrasound (US) and intraoperative frozen section. In adolescent and young adult patients, who are more likely to harbor malignant pathology, the role of partial orchiectomy is less clear. Testis-sparing surgery is being reported with greater frequency in the adult literature for small testicular masses and for situations in which radical orchiectomy would result in an anorchia. More recently, a testis-sparing approach has also been described for carefully-selected post-pubertal pediatric patients. This review will highlight the role of partial orchiectomy in pediatric patients (<18 years old).

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