Presentation
Left scrotal swelling for 6 months, with complain of pain for 2 days.
Patient Data
Age: 50 years
Gender: Male
From the case:
Adenomatoid tumor of the scrotum
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/128573/annotated_viewer_json?iframe=true\u0026lang=us"}
Well-defined, solid isoechoic left para-testicular lesion measuring 1.8 x 2.1 cm, likely arising from the tail of the epididymis. No cystic component or calcifications are seen in it. Mild internal vascularity is seen in it on color Doppler ultrasound examination.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/128579/annotated_viewer_json?iframe=true\u0026lang=us"}
Histopathology of the excised left para-testicular lesion revealed adenomatoid tumor. Immunohistochemistry showed diffusely positive pancytokeratin (AE1/AE3) and calretinin (SP65).
Case Discussion
Well-defined, solid, isoechoic left para-testicular lesion, likely arising from the tail of the epididymis, which is likely an adenomatoid tumor of the scrotum (later confirmed by the histopathology).