Müllerian duct cyst: Case report with updates in cellular origin, corresponding immunohistochemistry, and contrast to prostatic utricle cyst

Samueli, Benzion; Mazor, Elad; Kamenev, Iris; Ben-Arie, Gal

doi:10.1016/j.prp.2021.153657

Cited by 2 publications

(6 citation statements)

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Section: Discussionmentioning

confidence: 99%

“…After a careful literature review, we were limited by only two reported retroperitoneal MDC cases that were performed using robotic excision ( 1 , 8 ). Furthermore, to our knowledge, this is only the second reported robotic surgical management of retroperitoneal MDC in an adult ( 8 ). Additionally, one case of a retroperitoneal MDC was reported by Parmentier in a 23-year-old woman; however, was treated by laparoscopic methods ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The most sensitive stains have been found to be PAX-8, WT-1, and estrogen/progesterone receptors ( 4 ). PAX-8 is a transcription factor that codes for products of the Mullerian tract, upper urogenital tract, and the thyroid ( 4 , 8 ). The role of WT-1 is not well known but is believed to be involved in the differentiation of mesenchymal and epithelial cells ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…There is limited literature where MDCs were treated using robotic methods (7,8). To our knowledge, only one previous case report by Samueli et al describes robotic management of a complex retroperitoneal MDC in an adult (8). However, the robotic approach has been used in prostatic utricle cysts cases presenting with extensive malformations, ineffective minimally invasive treatment, ureter defects, and vas deferens defects (1,(10)(11)(12).…”

Section: Robotic and Laparoscopic Methodsmentioning

confidence: 99%

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Robotic management of a large mullerian duct cyst: a case report and review of surgical options

Able¹,

Srinivasan²,

Alzweri³

2022

Transl Androl Urol

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Introduction: Mullerian duct cysts (MDCs) are a rare diagnosis in adulthood, primarily found in men aged 20 to 40 due to reproductive or urinary symptoms. Asymptomatic patients are generally observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. However, larger and more complicated cysts are often treated using open or laparoscopic approaches.Case Description: Our case presents a 38-year-old male with worsening obstructive lower urinary tract symptoms and recurrent episodes of acute urinary retention. Preliminary diagnosis of a MDC was made using CT and MRI. After failing initial minimally invasive therapy, the patient was treated with definitive robotic-assisted laparoscopic surgical excision of the cyst. At the one-month follow-up, the patient reported no complications and resolution of symptoms. As shown by this case, robotic surgical methods may be used as a more precise approach, reducing the risk of damage to vessels, nerves, and structures within the abdomen and pelvis.Conclusions: Asymptomatic patients can be observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. Larger, more complicated cysts are often treated using open, laparoscopic, or robotic surgical methods. More precise approaches, including robotic methods, can reduce the risk of damage to vessels, nerves, and structures within the abdomen and pelvis.

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Section: Discussionmentioning

confidence: 99%