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Cystic Dysplasia of the Rete Testis Accompanying an Inguinal Hernia: A 63-Year-Old Man

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Kang Kyung-Seok, Á¶´ë¿¬, ¹Ú¹Î±¸, ¿©Á¤±Õ,
¼Ò¼Ó »ó¼¼Á¤º¸
 ( Kang Kyung-Seok ) 
Inje University College of Medicine Department of Urology

Á¶´ë¿¬ ( Cho Dae-Yeon ) 
Inje University College of Medicine Department of Urology
¹Ú¹Î±¸ ( Park Min-Gu ) 
Inje University College of Medicine Department of Urology
¿©Á¤±Õ ( Yeo Jeong-Kyun ) 
Inje University College of Medicine Department of Urology

Abstract


Cystic dysplasia of the rete testis (CDT) is a very rare congenital benign testicular tumor that is often associated with ipsilateral genitourinary anomalies. It is usually found in the pediatric population and must be differentially diagnosed from a malignant lesion. Here we report the case of a 63-year-old man with a left inguinal hernia who visited our urologic outpatient clinic. Scrotal ultrasonography showed a left direct inguinal hernia in the inguinal area and a well-circumscribed cystic lesion containing multiple minute cysts with echogenic foci occupying almost one-third of the left testicular parenchyma. Testicular tumor markers were within the normal range and a computed tomography scan of the abdomen showed no genitourinary abnormalities. We presumed that the left testicular lesion was malignant, and the patient underwent radical orchiectomy. However, the pathologic examination revealed a CDT. Here we present this case of a 63-year-old man with an inguinal hernia accompanied by multiple cystic lesions on the left testis.

Å°¿öµå

Adult; Hernia; inguinal; Rete testis; Testicular neoplasms

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