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Epididymal cyst

MedGen UID:
1778106
Concept ID:
C5442141
Anatomical Abnormality
Synonyms: Cyst, Epididymal; Cysts, Epididymal; Epididymal Cyst; Epididymal Cysts
SNOMED CT: Cyst of epididymis (43077002); Epididymal cyst (43077002)
 
HPO: HP:0030424

Definition

A smooth, extratesticular, spherical cyst in the head of the epididymis. [from HPO]

Conditions with this feature

Von Hippel-Lindau syndrome
MedGen UID:
42458
Concept ID:
C0019562
Disease or Syndrome
Von Hippel-Lindau (VHL) syndrome is characterized by hemangioblastomas of the brain, spinal cord, and retina; renal cysts and clear cell renal cell carcinoma; pheochromocytoma, pancreatic cysts, and neuroendocrine tumors; endolymphatic sac tumors; and epididymal and broad ligament cysts. Cerebellar hemangioblastomas may be associated with headache, vomiting, gait disturbances, or ataxia. Spinal hemangioblastomas and related syrinx usually present with pain. Sensory and motor loss may develop with cord compression. Retinal hemangioblastomas may be the initial manifestation of VHL syndrome and can cause vision loss. Renal cell carcinoma occurs in about 70% of individuals with VHL and is the leading cause of mortality. Pheochromocytomas can be asymptomatic but may cause sustained or episodic hypertension. Pancreatic lesions often remain asymptomatic and rarely cause endocrine or exocrine insufficiency. Endolymphatic sac tumors can cause hearing loss of varying severity, which can be a presenting symptom. Cystadenomas of the epididymis are relatively common. They rarely cause problems, unless bilateral, in which case they may result in infertility.
Renal cysts and diabetes syndrome
MedGen UID:
96569
Concept ID:
C0431693
Disease or Syndrome
The 17q12 recurrent deletion syndrome is characterized by variable combinations of the three following findings: structural or functional abnormalities of the kidney and urinary tract, maturity-onset diabetes of the young type 5 (MODY5), and neurodevelopmental or neuropsychiatric disorders (e.g., developmental delay, intellectual disability, autism spectrum disorder, schizophrenia, anxiety, and bipolar disorder). Using a method of data analysis that avoids ascertainment bias, the authors determined that multicystic kidneys and other structural and functional kidney anomalies occur in 85% to 90% of affected individuals, MODY5 in approximately 40%, and some degree of developmental delay or learning disability in approximately 50%. MODY5 is most often diagnosed before age 25 years (range: age 10-50 years).
Floating-Harbor syndrome
MedGen UID:
152667
Concept ID:
C0729582
Disease or Syndrome
Floating-Harbor syndrome (FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, clubbing, clinodactyly, short thumbs, prominent joints, clavicular abnormalities); severe receptive and expressive language impairment; hypernasality and high-pitched voice; and intellectual disability that is typically mild to moderate. Difficulties with temperament and behavior that are present in many children tend to improve in adulthood. Other features can include hyperopia and/or strabismus, conductive hearing loss, seizures, gastroesophageal reflux, renal anomalies (e.g., hydronephrosis / renal pelviectasis, cysts, and/or agenesis), and genital anomalies (e.g., hypospadias and/or undescended testes).

Professional guidelines

PubMed

Aksakalli T, Cinislioglu AE, Demirdogen SO, Utlu A, Celik F, Karabulut I, Akkus MC, Sulukoglu E, Oflas D, Sener E, Ozbey I
Urology 2024 Aug;190:36-43. Epub 2024 May 6 doi: 10.1016/j.urology.2024.04.036. PMID: 38719111
Zhao L, Yu Z, Zhang Z
J Vis Exp 2023 Mar 31;(193) doi: 10.3791/64083. PMID: 37067264
Yang B, Zhang J, Qi Y, Wang P, Jiang R, Li H
Am J Mens Health 2017 May;11(3):767-774. Epub 2017 Feb 1 doi: 10.1177/1557988317695901. PMID: 28413943Free PMC Article

Recent clinical studies

Etiology

Artas H, Orhan I
J Ultrasound Med 2007 Dec;26(12):1775-9. doi: 10.7863/jum.2007.26.12.1775. PMID: 18029930
Willis MJ, Bird LM, Dell'aquilla M, Jones MC
Prenat Diagn 2006 Feb;26(2):134-7. doi: 10.1002/pd.1352. PMID: 16463293
Braslis KG, Moss DI
Aust N Z J Surg 1996 Apr;66(4):222-4. doi: 10.1111/j.1445-2197.1996.tb01169.x. PMID: 8611129
Höbarth K, Susani M, Szabo N, Kratzik C
Urology 1992 Nov;40(5):464-7. doi: 10.1016/0090-4295(92)90467-b. PMID: 1441049
Finkelstein MS, Rosenberg HK, Snyder HM 3rd, Duckett JW
Urology 1986 Jan;27(1):1-9. doi: 10.1016/0090-4295(86)90196-2. PMID: 3510501

Diagnosis

Boscarelli A, Bellini T
Eur J Pediatr 2021 Sep;180(9):2723-2729. Epub 2021 Apr 14 doi: 10.1007/s00431-021-04080-5. PMID: 33851241
Hennessey DB, Brady AB, Dempsey R, Patterson K
BMJ Case Rep 2021 Feb 19;14(2) doi: 10.1136/bcr-2020-237096. PMID: 33608332Free PMC Article
Bleve C, Conighi ML, Bucci V, Costa L, Chiarenza SF
Pediatr Med Chir 2018 May 29;40(1) doi: 10.4081/pmc.2018.162. PMID: 29871476
Artas H, Orhan I
J Ultrasound Med 2007 Dec;26(12):1775-9. doi: 10.7863/jum.2007.26.12.1775. PMID: 18029930
Yilmaz E, Batislam E, Bozdogan O, Basar H, Basar MM
Int J Urol 2004 Mar;11(3):182-3. doi: 10.1111/j.1442-2042.2003.00764.x. PMID: 15009369

Therapy

Hou Y, Zhang Y, Li G, Wang W, Li H
Urology 2018 Dec;122:97-103. Epub 2018 Aug 22 doi: 10.1016/j.urology.2018.08.007. PMID: 30142407
Hicks N, Gupta S
Scand J Urol 2016 Dec;50(6):468-471. Epub 2016 Jul 15 doi: 10.1080/21681805.2016.1204622. PMID: 27421073
Nanbu A, Sugiura K, Sassa N, Akiyama M
Acta Derm Venereol 2016 Nov 2;96(7):985-986. doi: 10.2340/00015555-2382. PMID: 26911283
Yang JR, Wei YB, Yan B, Yin Z, Gao YL, Wang Z, Zhou KQ
Urology 2015 Jun;85(6):1510-4. Epub 2015 Apr 11 doi: 10.1016/j.urology.2015.03.003. PMID: 25868737
Braslis KG, Moss DI
Aust N Z J Surg 1996 Apr;66(4):222-4. doi: 10.1111/j.1445-2197.1996.tb01169.x. PMID: 8611129

Prognosis

Zhao L, Yu Z, Zhang Z
J Vis Exp 2023 Mar 31;(193) doi: 10.3791/64083. PMID: 37067264
Patoulias D, Kalogirou M, Patoulias I
Acta Medica (Hradec Kralove) 2016;59(4):137-139. doi: 10.14712/18059694.2017.41. PMID: 28440217
Artas H, Orhan I
J Ultrasound Med 2007 Dec;26(12):1775-9. doi: 10.7863/jum.2007.26.12.1775. PMID: 18029930
Willis MJ, Bird LM, Dell'aquilla M, Jones MC
Prenat Diagn 2006 Feb;26(2):134-7. doi: 10.1002/pd.1352. PMID: 16463293
Höbarth K, Susani M, Szabo N, Kratzik C
Urology 1992 Nov;40(5):464-7. doi: 10.1016/0090-4295(92)90467-b. PMID: 1441049

Clinical prediction guides

Greenberg DR, Gago LC, Kumar SKSR, Panken EJ, Ji EJ, Tsai KP, Asanad K, Hayon S, Brannigan RE, Halpern JA
J Urol 2024 Dec;212(6):891-898. Epub 2024 Aug 26 doi: 10.1097/JU.0000000000004224. PMID: 39186830
Hou Y, Zhang Y, Li G, Wang W, Li H
Urology 2018 Dec;122:97-103. Epub 2018 Aug 22 doi: 10.1016/j.urology.2018.08.007. PMID: 30142407
Yang JR, Wei YB, Yan B, Yin Z, Gao YL, Wang Z, Zhou KQ
Urology 2015 Jun;85(6):1510-4. Epub 2015 Apr 11 doi: 10.1016/j.urology.2015.03.003. PMID: 25868737
Qublan HS, Al-Okoor K, Al-Ghoweri AS, Abu-Qamar A
J Clin Ultrasound 2007 Oct;35(8):437-41. doi: 10.1002/jcu.20326. PMID: 17417807
Sigurdsson T, Johansson JE, Jahnson S, Helgesen F, Andersson SO
J Urol 1994 Apr;151(4):898-901. doi: 10.1016/s0022-5347(17)35117-0. PMID: 8126821

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