Nadir Görülen Bir Klinik Olgu: Paratestiküler Bölgenin Adenomatoid Tümörü

Öz

Adenomatoid tümörler erkek ve kadın genital traktında nadir görülen benign kitlelerdir. Erkek hastalarda paratestiküler bölge tümörlerinin yaklaşık olarak %30’unu oluşturur ve en sık 3. ve 4. dekatta görülür. Klinik olarak genellikle semptom vermemekle beraber, ağrısız ele gelen kitle en sık başvuru nedenidir. Bu kitleleri radyolojik olarak malign tümörlerden ayırt etmek mümkün değildir. Preoperatif değerlendirmedeki yetersizlikler çoğu zaman gereksiz orşiektomileri beraberinde getirmekte olup, bu da adenomatoid tümörleri ürologlar açısından önemli hale getirmektedir. Biz de nadir görülen bu antiteyi 38 yaşında erkek hastada sunacağız

Anahtar Kelimeler

• Adenomatoid tümör, Benign kitleler, Paratestiküler bölge

A Rare Clinical Case: Adenomatoid Tumor of the Paratesticular Region

Abstract

Adenomatoid tumors are rare benign tumors usually found in the genital tract of males and females. They account for approximately 30% of paratesticular tumors in men and are most frequently seen in the 3rd and 4th decades. Although most cases do not have symptoms, the most common application is the presence of a painless palpable mass. It is not possible to radiologically differentiate these masses from malignant tumors. Insufficiencies in preoperative evaluations generally lead to unnecessary orchiectomies which makes these adenomatoid tumors important from the point of view of urologists.We will present this rarely-observed entity in a 38-year-old male patient

Keywords

• Adenomatoid tumor, Benign masses, Paratesticular region

References

1. Golden A, Ash JE. Adenomatoid tumors of the genital tract. Am J Pathol 1945;21(1):63-79.
2. Delahunt B, Eble JN, King D, Bethwaite PB, Nacey JN, Thornton A. Immunohistochemical evidence for mesothelial origin of paratesticular adenomatoid tumour. Histopathology 2000;36(2):109-15.
3. Amin W, Parwani AV. Adenomatoid tumor of testis. Clin Med Pathol. 2009;2:17-22.
4. Fabiani A1, Maurelli V, Filosa A, Fioretti F, Mammana G. Rare case of intra-testicular adenomatoid tumour. Arch Ital Urol Androl 2015;87(2):181-2.
5. Sangoi AR, McKenney JK, Schwartz EJ, Rouse RV, Longacre TA. Adenomatoid tumors of the female and male genital tracts: A clinicopathological and immunohistochemical study of 44 cases. Mod Pathol. 2009;22(9):1228-35.
6. Wachter DL, Wünsch PH, Hartmann A, Agaimy A. Adenomatoid tumors of the female and male genital tract. A comparative clinicopathologic and immunohistochemical analysis of 47 cases emphasizing their site-specific morphologic diversity. Virchows Arch 2011;458(5):593-602.
7. Goode B, Joseph NM, Stevers M, Van Ziffle J, Onodera C, Talevich E, Grenert JP, Yeh I, Bastian BC, Phillips JJ, Garg K, Rabban JT, Zaloudek C, Solomon DA. Adenomatoid tumors of the male and female genital tract are defined by TRAF7 mutations that drive aberrant NF-kB pathway activation. Mod Pathol 2018;31(4):660-73.
8. Aganovic L, Cassidy F. Imaging of the scrotum. Radiol Clin North Am 2012;50(6):1145-65.

9. Sun AY, Polackwich AS, Sabanegh ES Jr. Adenomatoid tumor of the testis arising from the tunica albuginea. Rev Urol 2016;18(1):51-3.
10. Cavalie G, Bellier A, Marnas G, Boisson B, Robert Y, Rabattu PY, Chaffanjon P. Anatomy and histology of the scrotal ligament in adults: Inconsistency and variability of the gubernaculum testis. Surg Radiol Anat 2018;40(4): 365-70.