We report the case of an 85-year-old man with a history of prostate adenocarcinoma treated with LHRH analogues, maintaining adequate biochemical control of the disease, and who consulted for a 2-month history of fever, with no
Physical examination revealed a left hemiscrotum larger than normal under tension, with a mass that prevented identification of the left testicle.
Blood tests were ordered to check for beta-HCG and alpha-fetoprotein within the reference range, and ultrasound showed a large dependent cyst, such as: "large cystic mass at the level of scroprimadenoma compatible cyst," cm.
With the clinical data and evaluating the differential diagnoses and the situation of the patient, bilateral orchiectomy is offered, the right subalbugine and the left inguinal, which accepts.
1.
The surgical specimen weighed 550 g, measured 11x11x9 cm. The patient had a parechymosis testicular color; the cut showed a cystic cavity compressing the parechymosis testicular pair.
The microscopic pathological study included sections of the cyst wall and the rest of the test and revealed a cystic lesion covered with flat epithelium, with areas of ulceration, hemorrhage and necrotic tissue; the parenchyma showed intense testicular tubular congestion germinal cells.
1.
The anatomopathological diagnosis was testicular cyst compatible with cystic dilatation of the testis.
