Adenomatoid tumours of the scrotum

Radswiki et al.

Adenomatoid tumours of the scrotum are benign, solid extra testicular lesions that can originate from the epididymis, tunica vaginalis, or spermatic cord (90% derived from the funiculus).

They are the most common extra testicular neoplasm, and most common tumour of the epididymis, and occur more often in the lower pole than in the upper pole by a ratio of 4:1.

Usually an incidental finding, adenomatoid tumours manifest as a small (usually under 2 cm), painless scrotal mass, with the majority diagnosed in patients aged 20-50 years. They are typically unilateral and occur more frequently on the left side.

When they grow non-invasively into the testicular parenchyma, they can simulate intratesticular disease.

Ultrasound
  • well-defined solid extra testicular mass with variable echogenicity
  • range in size from a few millimetres to a few centimetres
MRI

MR imaging can aid in determining the paratesticular origin of the lesion.

  • T2: low signal intensity relative to the testicular parenchyma
  • T1 C+ (Gd): show enhancement

They are benign with no reports of recurrence or metastatic disease after excision 5.

General imaging differential considerations include:

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Article Information

rID: 12210
System: Urogenital
Synonyms or Alternate Spellings:
  • Adenomatoid tumors of the scrotum
  • Scrotal adenomatoid tumour
  • Scrotal adenomatoid tumours
  • Scrotal adenomatoid tumor
  • Scrotal adenomatoid tumors
  • Adenomatoid tumour of the scrotum
  • Adenomatoid tumor of the scrotum

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Cases and Figures

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    Figure 1: gross pathology
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    Case 1: T2
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    Figure 2: histology - low power
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     Case 2: ultrasound
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    Figure 3: histology - high power
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    Case 3: T2
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    Case 4
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