Adenomatoid Tumor of Epididymis: A Case report with correlation between histology and cytology

  • Mega Lahori Acharya Shri Chander College of Medical Sciences, Jammu
  • Sakul Gupta Acharya Shri Chander College of Medical Sciences Jammu (J&K)
  • K C Goswami Acharya Shri Chander College of Medical Sciences Jammu (J&K)
  • Arvind Khajuria Acharya Shri Chander College of Medical Sciences Jammu (J&K)
Keywords: Adenomatoid tumor, Epididymal lesion, Paratesticular tumors, Mesothelial neoplasm

Abstract

Adenomatoid tumor is a rare and distinctive, benign mesothelial neoplasm of the paratesticular region in males, most commonly occurring at the tail of epididymis and constitutes 30% of paratesticular neoplasms. We present a case of adenomatoid tumor in a 35 year old male, who presented with a mass in right epididymis and was diagnosed by fine needle aspiration cytology and later confirmed on histopathology. The clinical, histopathological and cytological aspects of this rare case are discussed.  FNAC plays a pivotal role in the preoperative diagnosis of these tumors as it is a simple, inexpensive, minimally invasive and reliable diagnostic modality. Due to its benign nature, the treatment of choice is local excision. We believe it is important for the physician to be aware of this interesting entity in order to make an accurate diagnosis and prevent unnecessary orchiectomy.

Author Biographies

Mega Lahori, Acharya Shri Chander College of Medical Sciences, Jammu
Resident, Deptt of PathologyAcharya Shri Chander College of Medical Sciences, Sidhra Jammu
Sakul Gupta, Acharya Shri Chander College of Medical Sciences Jammu (J&K)
Associate Professor, Deptt of Medicine, Acharya Shri Chander College of Medical Sciences Jammu (J&K)  
K C Goswami, Acharya Shri Chander College of Medical Sciences Jammu (J&K)
Professor, Deptt of Pathology, Acharya Shri Chander College of Medical Sciences Jammu (J&K)
Arvind Khajuria, Acharya Shri Chander College of Medical Sciences Jammu (J&K)
Professor and Head, Deptt of Pathology, Acharya Shri Chander College of Medical Sciences Jammu (J&K)

References

1. Amin W, Parvani A V. Adenomatoid tumor of testis. Clin Med Pathol. 2009; 2: 17–22.
2. Moyano CJL, Giraldez PJ, Sanchez de la Vega J, Casanova GD, Lópezet AM. Adenomatoid tumor of the epididymis. Actas Urol Esp 2007; 31: 417.
3. Manjunath GV, Nandini NM. Fine needle aspiration cytology of adenomatoid tumor - a case report with review of literature. Indian J Pathol Microbiol 2005;48:503–4.
4. Gupta S, Garg S, Agarwal R, Sen R. Aspiration cytology of adenomatoid tumor of epididymis: An important diagnostic tool. JCSR. 2012;4:11.
5. Sangoi AR, McKenney JK, Schwartz EJ, Rouse RV, Longacre TA. Adenomatoid tumors of the male & female genital tracts: a clinicopathological and immunohistochemical study of 44 cases. Mod Pathol 2009, 22: 1228-1235.
6. Kalyani R, Das S. Adenomatoid tumor: Cytological diagnosis of two cases. J. Cytol 2009 Jan-Mar; 26: 30-32.
Published
2016-10-12
Section
Case Reports