Section Editor: Dharam M. Ramnani, MD

Virginia Urology, Richmond, VA, USA

Image 28 of 41



Image Description

The paratesticular region and sometimes the testis proper are locations for primary tumors that resemble ovarian-type epithelial tumors (serous, mucinous, endometrioid, Brenner, and clear cell types). The example shown here is a serous cystadenofibroma that was centered around tunica albuginea.

The patient was a 47 y/o man with a long-standing history of an intratesticular cyst associated with intermittent pain and discomfort. Testicular ultrasound showed a 3 cm hypoechoic, septated cyst. The orchiectomy specimen showed multiple tubules and cystic spaces in a thickened tunica albuginea ranging in size from microscopic to 0.8 cm. Atrophic seminiferous tubules can be seen in the lower left corner of this image.

Image 28 of 41