Papillary cystadenoma of the epididymis

Case contributed by Matt A. Morgan
Diagnosis almost certain

Presentation

Palpable scrotal lump in a patient with a history of Von Hippel-Lindau syndrome.

Patient Data

Age: 25-30Y
Gender: Male
ultrasound

There is a 1.9 x 1.9 x 2.1 cm complex cystic and solid hypervascular mass with peripheral calcifications in the right epididymal head, which given the history of VHL, most likely represents papillary cystadenoma.

Unremarkable right testicle.

Case Discussion

Papillary cystadenoma of the epididymis is an uncommon benign tumor, but is one of the many lesions associated with Von Hippel-Lindau disease.

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