Cystadenoma in a seminal vesicle is cured by laparoscopic ablation

Zhu, Jianguo; Chen, Weihong; Xu, Shu-Xiong; Wang, Rongping; Sun, Zhaolin

doi:10.1038/aja.2013.33

Cited by 10 publications

(5 citation statements)

References 8 publications

(11 reference statements)

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“…9 Transperitoneal laparoscopic vesiculectomy for SV cystadenoma was recently performed, achieving optimal oncologic outcomes and easy recovery after surgery. 10,11 With the advantages over conventional laparoscopy, in particular, the magnified 3-dimensional vision, EndoWrist instrument technology, and superior ergonomic environment for the operating surgeon, a robotic approach has been increasingly selected for the treatment of cysts and other abnormalities of the SVs. 12,13 To date, only 2 cases of SV cystadenoma have been managed with RALV using a transperitoneal approach.…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle Cystadenoma: A Case Report and Review of the Literature

Campi

Serni

Raspollini

et al. 2015

Clinical Genitourinary Cancer

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A 47-year-old patient had been referred to our center for gross hematuria and lower urinary tract symptoms (LUTS). His medical history was unremarkable, and no comorbidities were present. The prostate-specific antigen (PSA) level was 1.7 ng/mL. The digital rectal examination revealed a tense and elastic mass with undefined boundaries, cranially to the prostate. The physical examination and laboratory test results were otherwise normal. Transabdominal ultrasonography showed no lesions in the upper urinary tract; however, high-resolution transrectal ultrasonography (TRUS) confirmed the presence of a multiseptated, solid-cystic pelvic mass occupying the retrovesical space. No suspected areas were detected in the peripheral zone of the prostate. In-office cystoscopy was performed to rule out a bladder malignancy. No lesions were found within the bladder; however, unusual bleeding from the seminal colliculus was found. The right ureteral orifice had also been pushed cranially, likely by extrinsic compression.

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Section: Discussionmentioning

confidence: 99%

Robot-Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle Cystadenoma: A Case Report and Review of the Literature

Campi

Serni

Raspollini

et al. 2015

Clinical Genitourinary Cancer

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“…If cystadenoma was an MEST, it would be necessary, by definition, the coexistence of a proliferation of both the glandular and stromal compartments. However, stroma overgrowth may be not necessary for the diagnosis of cystadenoma, 1,6–8,13,17,22 In some papers, 1,13,15,16,27 the description of the stroma is absent. To overcome this evidence, Reikie et al 6 suggested that the term ‘cystadenoma’ should therefore be restricted only to those rare benign tumours that demonstrate hypocellular (normal or almost normal) seminal vesicle stroma and they can be considered part of the spectrum of the low-grade MEST, rather than a separate category.…”

Section: Discussionmentioning

confidence: 99%

Cystadenoma of the seminal vesicle – Potential diagnostic pitfall: A case report and literature review

Franca

Crocetto

Pandolfo

et al. 2021

Journal of Clinical Urology

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Background: Cystadenomas of the seminal vesicles are benign cystic tumours, currently classified into the group of mixed epithelial-stromal tumours (MEST). Primary tumours arising in the seminal vesicles are quite rare, benign tumours being rarer than malignant ones, with only a few cases reported in the English literature since 1944. Cystadenomas represent a potential diagnostic pitfall, as they can be clinically confused with malignant neoplasms and histologically with non-neoplastic inflammatory lesions or other cystic tumours, even malignant. Objective and methods: We report a case of a 23-year-old man presenting with a cystic mass of the seminal vesicle, clinically suspected to be a malignant neoplasm. On pathological examination, a diagnosis of cystadenoma was made. Diagnostic criteria to make a diagnosis of this tumour are questionable. Therefore, we carried out a literature review in attempt to compare clinico-pathological findings of 28 cases reported in the English literature as cystadenomas of the seminal vesicle. Results: Only 28 cases of cystadenomas of seminal vesicles were reported in the English literature. The available data show the difficulty to rule out malignancy preoperatively in a patient with a solid-cystic mass in the pelvic region, and that morphological findings observed were often reported incompletely. Conclusions: The current classification appears debatable, as well as histopathological criteria to diagnose a cystadenoma of the seminal vesicle. For the proper management of these lesions, a multidisciplinary approach is mandatory. Level of evidence: Not applicable

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“…The only available data so far in the literature come from Zhu and colleagues, who performed a laparoscopic excision of an 8.8 cm left seminal vesicle cystadenoma. 4 They reported 125 minutes surgery time and 120 mL estimated blood loss. The patient was free of symptoms for a 10-month follow-up period.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Robot-Assisted Laparoscopic Seminal Vesicle Cystadenoma Excision

Argun

Mourmouris

Tüfek

et al. 2015

Journal of Endourology Case Reports

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Background: Cystadenoma is an extremely rare benign tumor of the seminal vesicle. Diagnosis of these tumors and differential diagnosis from malignant ones may be challenging since most of the time symptoms do not occur. Management of these tumors remains debatable due to the limited data in the literature. We present the first robot-assisted laparoscopic excision of a cystadenoma of the seminal vesicle.Case Presentation: A 48-year-old man presented with diminished ejaculate volume and a 3.5 cm right seminal vesicle mass, which increased its size at 6 cm after the 3-month period. Transrectal ultrasound-guided biopsy revealed no malignancy. Robot-assisted laparoscopic excision of the tumor was performed. Port placement was the same as robot-assisted radical prostatectomy. Operative time and estimated blood loss were 240 minutes and 200 mL, respectively. Patient was discharged on postoperative day 3 without any complications. Final histopathologic examination revealed cystadenoma of the seminal vesicle.Conclusion: Surgical intervention may be considered when a cystadenoma of the seminal vesicle is diagnosed and symptoms or tumor growth occurs. Robot-assisted laparoscopic excision is an alternative in the management of these rare tumors.

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Cystadenoma in a seminal vesicle is cured by laparoscopic ablation

Cited by 10 publications

References 8 publications

Robot-Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle Cystadenoma: A Case Report and Review of the Literature

Robot-Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle Cystadenoma: A Case Report and Review of the Literature

Cystadenoma of the seminal vesicle – Potential diagnostic pitfall: A case report and literature review

Robot-Assisted Laparoscopic Seminal Vesicle Cystadenoma Excision

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