Intraparenchymal Epididymal Cyst
(IEC) 4 cm in Diameter in a 15-Year Old Male Patient; a Case Report and Review of the Literature.
The other swellings commonly encountered were epididymal cysts
(Accounting for 19.4% of cases).
Arda, "Epididymal cyst
: Not always a benign condition," International Journal of Urology, vol.
Tumor type Total (n) Percentage Benign tumors Adenomatoid tumor 1 2.1 Solitary fibrous tumor 1 2.1 Lipoma 3 6.4 Hemangioma 1 2.1 Adenoma 1 2.1 Malignant tumors Mesothelioma 1 2.1 Malignant fibrous histiocytoma 1 2.1 Embryonal rhabdomyosarcoma 3 6.4 Atypical lipomatous tumor 1 2.1 Myxoid liposarcoma 1 2.1 Tumor-like lesions Fibromatous periorchitis 2 4.3 Mesothelial cyst 1 2.1 Epididymal cyst
17 36.2 Tuberculous epididymitis 7 14.9 Filarial epididymitis 4 8.5 Non-specific granulomatous 2 4.3 epididymitis Total 47 100.0 Table 2: Site distribution of paratesticular tumors.
A AN epididymal cyst
is a swelling on the tubes that carry the sperm from the testicle, where they are made, to the area in the pelvis where it is stored.
In our study of 46 cases of non-inflammatory scrotal swellings, we noted 6 cases of epididymal cysts
, 3 cases of spermatocoeles.
Other entities that should be included in the differential diagnosis are large epididymal cyst
and epididymal cystic lymphangioma, since they may have similar features but are confined to epididymis.
AIT sounds as if you may have an epididymal cyst
. This is usually a harmless swelling arising from the epididymus (this is a firm structure felt at the back of the testicles).
In our study of cystic swelling of scrotum, the commonest presentation was primary vaginal hydrocele (57%) followed by congenital hydrocele (14%) and epididymal cyst
11% and least was spermatocele and secondary hydrocele with 2% each.
However the differential diagnoses to SNT, which may be present simultaneously, or alternatively complicate the situation, include epididymal cyst
and spermatocele .
His medical notes made it "perfectly clear" the procedure was to be "excision of right epididymal cyst
", the General Medical Council disciplinary tribunal heard.
While the cyst contents were echogenic in 85.7% cases of spermatocele, it was anechoic in 100% cases of epididymal cysts
. Septation were noted in 57.1% cases of spermatocele and in 9% cases of epididymal cyst