Cystic Dysplasia of the Rete Testis: Does Pathophysiology Guide Management?

Helman, Talia; Epelman, Mónica; Ellsworth, Pamela

doi:10.1016/j.urology.2020.03.026

Cited by 5 publications

(10 citation statements)

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“…Helman et al recently suggested a diagnostic and management algorithm reserving surgical intervention only for cases in which the diagnosis was unclear. Yearly scrotal ultrasound was proposed for patients who met the criteria for CDRT ( 8 ). When non-surgical management is chosen, close follow-up during the first few months after diagnosis is mandatory ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

Cystic Dysplasia of the Rete Testis: Case Report and Systematic Review of the Literature

et al. 2022

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Cystic dysplasia of the rete testis (CDRT) is a rare cause of testicular masses in children. The pathogenesis of this malformation remains unclear. It is often associated with other genitourinary anomalies, commonly presenting as agenesis or dysplasia of the ipsilateral kidney. A case involving a 9-year-old boy with a testicular lesion and ipsilateral renal agenesis, who was diagnosed with CDRT after histological examination, is reported. In addition, a systematic review of the literature was performed to better understand this pathology to design the most appropriate treatment and follow-up strategy for patients with CDRT.

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Section: Discussionmentioning

confidence: 99%

Cystic Dysplasia of the Rete Testis: Case Report and Systematic Review of the Literature

et al. 2022

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“…The cephalic end of the mesonephric duct, the ureteral bud, interacts with the metanephric mesenchyme to form the kidney. Disruption of this process may lead to agenesis or dysplasia [5] . An alternative theory proposes that the rete testis undergoes early maturation and begins secreting fluid prior to canalization of the seminiferous tubules, resulting in cystic dilatation [6] .…”

Section: Discussionmentioning

confidence: 99%

“…While it is a rare lesion to occur during childhood, unilateral scrotal enlargement is not uncommon. Conservative management with serial scrotal ultrasound examinations has been considered an appropriate alternative to surgical intervention, after other causes for unilateral scrotal enlargement, such as hydrocele, testicular torsion, varicocele, hernia, or testicular neoplasm, have been excluded [5] . Diagnostic evaluation may include ultrasound, tumor marker analysis (LDH, β-HCG.…”

Section: Discussionmentioning

confidence: 99%

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Cystic dysplasia of the rete testis associated with ipsilateral renal agenesis: A case report

Waknin

Kučera

2022

Radiology Case Reports

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“…48.5% of the other patients underwent orchiectomy as well as our patient. [2] Surgery should only be used in cases where the diagnosis is ambiguous, according to a diagnostic and therapeutic protocol proposed by Helman et al [5] For patients who t the criteria for cystic dysplasia of the rete testis yearly scrotal ultrasonography was suggested. [5] Close monitoring during the initial several months following diagnosis is essential when non-surgical therapy is chosen.…”

Section: Discussionmentioning

confidence: 99%

Cystic dysplasia of the rete testis in a young adult accompanying ipsilateral renal agenesis: A case report

Franin

Grubišić

Gršić

et al. 2022

Preprint

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Background: A 31-year-old man was referred from an outside institution to the department of urology under the suspicion of a testicular tumor, with left-sided testicular pain lasting a couple of months in duration. Physical examination showed a hard, thickened and small left testis on palpation with diffuse, inhomogeneous ultrasonographic appearance. After urologic examination a left-sided inguinal orchiectomy was performed. The testis, epididymis and spermatic cord were sent to pathology. Case presentation: On gross examination, a cystic cavity filled with brown fluid content and surrounding brownish parenchyma measuring up to 3.5 cm in diameter was found. Histologic examination showed cystically dilated rete testis lined with cuboidal epithelium and a positive immunohistochemical reaction to cytokeratins. The cystic cavity was microscopically a pseudocyst filled with extravasated erythrocytes and abundant clusters of siderophages. The siderophages extended into the testicular parenchyma, surrounding the seminiferous tubules and spreading out around ducts of the epididymis, which were also cystically dilated with siderophages inside their lumina. Conclusions: On the basis of clinical data, histological and immunohistochemical analysis, a diagnosis of cystic dysplasia of the rete testis was established. According to the literature there is a very well-known association between cystic dysplasia of rete testis and ipsilateral genitourinary anomalies. The patient was referred to the department of radiology, and a multi-slice computed tomography scan revealed ipsilateral renal agenesis, right seminal vesicle cyst reaching up to the iliac arteries and a multi-cystic formation cranial to the prostate.

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Cystic Dysplasia of the Rete Testis: Does Pathophysiology Guide Management?

Cited by 5 publications

References 10 publications

Cystic Dysplasia of the Rete Testis: Case Report and Systematic Review of the Literature

Cystic Dysplasia of the Rete Testis: Case Report and Systematic Review of the Literature

Cystic dysplasia of the rete testis associated with ipsilateral renal agenesis: A case report

Cystic dysplasia of the rete testis in a young adult accompanying ipsilateral renal agenesis: A case report

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