case_images: PMC10508290_01
case_images: Ultrasonography of the scrotum showed a mass with disordered echo that occupied most of the left testis, which was compressed into a crescent-shaped shape and showed a small amount of blood flow signal in the testicular parenchyma. (A) Arcuate and coarse calcifications were detected in some areas (B).
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case_images: f1
case_images: The left testicular parenchyma was compressed into the shape of a crescent, and a small amount of blood flow signal could be seen in the testicular parenchyma ( Figure 1A ), but no abnormalities were seen in the right testicle. The size of the mass was 4.2x3.6x3.0 cm, and it had a clear border, disordered internal echo, and arcuate and coarse calcifications visible in some areas ( Figure 1B ).
case_images: TIWI+C showed a round-like low signal, and mild reinforcement was visible at the edges. (A) T2WI showed that the left testis was enlarged, high signal intensity opacities were visible, and a linear low signal intensity was visible at the margins and internally (B).
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case_images: f2
case_images: T2WI, visible linear low signal at the edge and internally, slightly higher signal on DWI, and high signal on DC MRI; the area measured approximately 3.8x4.0x4.5 cm, with mild enhancement along the edge seen on contrast-enhanced scanning ( Figures 2A, B ).
case_images: The general pathology showed that the partial incision of the incision surface was solid, the solid area was gray-yellow and soft, the inner wall of the cystic capsule was slightly rough, and the local gray-yellow and gray-white granular areas were full of jelly-like matter.
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case_images: f3
case_images: The solid area measured 4.0x3.0x0.7 cm and was gray-yellow and soft, and the cystic area measured 3.0x3.5x2.0 cm. The inner wall of the capsule was slightly rough with local gray-yellow and gray-white granules, which were filled with jelly-like matter ( Figure 3 ). There were no neoplastic lesions in the epididymis or spermatic cord.
case_images: Microscopically, there were multiple cystic glands and fibrotic interstitium, the cyst wall was lined with columnar mucus epithelium, and the local mucous epithelium had mild atypia and no interstitial infiltrates. (A: HEx100, B: HEx400).
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case_images: Figures 4A, B ). Follow-up 6 months later showed no tumor recurrence or metastasis.