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Revista mexicana de urología

On-line version ISSN 2007-4085Print version ISSN 0185-4542

Abstract

PENA-RUELAS, Cesar Iván; RENTERIA-MANZANILLA, María del Mar  and  ROSA-VELEZ, Elsa Edith de la. Giant cyst of the tunica albuginea. Rev. mex. urol. [online]. 2018, vol.78, n.5, pp.385-388.  Epub June 25, 2021. ISSN 2007-4085.  https://doi.org/10.24245/revmexurol.v78i5.2011.

BACKGROUND:

Cysts of the tunica albuginea are benign tumors with an incidence that varies from 0.3 to 0.76%. The majority of cases are classified as intratesticular and average size is 2 to 5 mm. When the cysts are very large, due to location and size, they can be misinterpreted as malignant.

CLINICAL CASE:

A 55-year-old man presented with progressive enlargement of the left testicular region of 30-year progression. Ultrasound and computed tomography studies identified a well-defined, heterogeneous cystic tumor that compressed the left testis, for which orchiectomy was performed. The anatomopathologic study confirmed a 20 x 16 cm, unilocular cyst with fluid content, located in the tunica albuginea. Microscopically, it was lined with a flat or cuboidal epithelium with no atypia. Diagnosis was a cyst of the tunica albuginea.

CONCLUSION:

Treatment of cysts of the tunica albuginea may vary according to size and symptomatology. The case presented herein is the largest cyst of the tunica albuginea to yet be reported.

Keywords : Intratesticular cyst; Tunica albuginea.

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