Adolescent Hydrocele Carrying a Surprise: A Case of Papillary Cystadenoma of the Epididymis

Urology. 2018 Feb:112:172-175. doi: 10.1016/j.urology.2017.10.040. Epub 2017 Nov 15.

Abstract

Papillary cystadenoma of the epididymis (PCE) is a rare benign epithelial tumor remarkable for its association with von Hippel-Lindau disease. A 12-year-old boy consulted for a progressive enlargement of the left testicle. At time of surgery, the whole epididymis was enlarged. Pathologic diagnosis was PCE with a focus on borderline malignancy. Scrotal left epididymectomy was performed. von Hippel-Lindau disease screening was negative. No relapse has been detected 2 years later. In case of atypical clinical examination of a hydrocele, unusual presentations such as PCE should be considered. The main differential diagnoses were adenomatoid tumor, nonpapillary cystadenoma, and metastatic clear cell renal carcinoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child
  • Cystadenoma, Papillary / complications*
  • Cystadenoma, Papillary / diagnosis
  • Cystadenoma, Papillary / surgery
  • Epididymis*
  • Genital Neoplasms, Male / complications*
  • Genital Neoplasms, Male / diagnosis
  • Genital Neoplasms, Male / surgery
  • Humans
  • Male
  • Testicular Hydrocele / complications*