Recenzija, prikaz
https://doi.org/10.3325/cmj.2023.64.198
Cystic dysplasia of the rete testis accompanying ipsilateral renal agenesis in a young adult: a case report
Ivan Franin
orcid.org/0000-0003-3675-2872
; Ljudevit Jurak Department of Pathology and Cytology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
*
Igor Grubišić
; Department of Urology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Lana Postružin Gršić
; Department of Interventional and Diagnostic Radiology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Monica Stephany Kirigin
; Ljudevit Jurak Department of Pathology and Cytology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Tonći Vodopić
; Department of Pathology, Cytology and Forensic Medicine, Varaždin General Hospital, Varaždin, Croatia
Božo Krušlin
; Ljudevit Jurak Department of Pathology and Cytology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
* Dopisni autor.
Sažetak
A 31-year-old man with left-sided testicular pain lasting a
couple of months was referred to our urology department
due to a suspected testicular tumor. Physical examination
showed a hard, thickened, and small left testis on palpation with a diffuse, inhomogeneous ultrasonographic
appearance. After a urologic examination, a left-sided inguinal orchiectomy was performed. The testis, epididymis,
and spermatic cord were sent to pathology. Gross examination revealed a cystic cavity filled with brown fluid and
the surrounding brownish parenchyma measuring up to
3.5 cm in diameter. Histologic examination showed a cystically dilated rete testis lined with cuboidal epithelium and
a positive immunohistochemical reaction to cytokeratins.
Microscopically, the cystic cavity was a pseudocyst filled
with extravasated erythrocytes and abundant clusters of
siderophages. The siderophages extended into the testicular parenchyma, surrounding the seminiferous tubules and
spreading out around the ducts of the epididymis, which
were also cystically dilated with siderophages inside their
lumina. On the basis of clinical data, histological, and immunohistochemical analysis, the patient was diagnosed
with cystic dysplasia of the rete testis. The literature shows
an association between cystic dysplasia of the rete testis
and ipsilateral genitourinary anomalies. Therefore, our patient underwent a multi-slice computed tomography scan,
which revealed ipsilateral renal agenesis, a right seminal
vesicle cyst reaching up to the iliac arteries, and a multicystic formation cranial to the prostate.
Ključne riječi
Hrčak ID:
331538
URI
Datum izdavanja:
30.6.2023.
Posjeta: 298 *