Rete testis adenomatous hyperplasia: our experience.

Abstract:

:The word "adenomatous hyperplasia of rete testis" (AHRT) was used by M. Nistal et Al. for the first time in an article about the cystic dysplasia of the testis (1976). AHRT is a benign lesion of the testis. The patient who came to our attention was studied with a testicular echo color Doppler that identified a solid, well circumscribed and hypoechoic mass of 4.5 x3.8mm as diameter, localized in the upper third of the right testicle and with a perilesional vascularization pattern. The preoperative study was based on an accurate medical history, on an ultrasound with contrast and on a RMI. The treatment consisted in an echo guided excisional biopsy of the testicular lesion, considering this as the best approach for those testicular neoformation difficult to define, with a lot of benefits for the patients, especially for those monorchid. :Per iperplasia adenomatosa della rete testis (AHRT) si intende una proliferazione epiteliale benigna a carico del mediastino testicolare, costituita da una complessa proliferazione di canali tubulo-papillari intercomunicanti fra loro, che può essere focale o diffusa e con o senza dilatazione cistica. In circa la metà dei casi si presenta come una massa macroscopicamente rilevata di consistenza solida o cistica. Tra le anomalie testicolari che spesso si associano alla AHRT, quella di più frequente riscontro è l’atrofia testicolare. Il paziente venuto alla nostra osservazione è stato studiato con un ecocolordoppler testicolare che ha individuato nel terzo superiore del testicolo destro una massa solida localizzata del diametro di 4,5x3.8mm, ben circoscritta ed ipoecogena con un pattern di vascolarizzazione perilesionale. Lo studio preoperatorio, oltre che sull’accurata anamnesi si è basato su una ecografia con contrasto ed una RMI. L’intervento è consistito nella biopsia escissionale ecoguidata della lesione testicolare, considerando questo approccio come il migliore per le neoformazioni testicolari non altrimenti ben definibili, con indubbi vantaggi per tutti i pazienti ma specialmente per quelli monorchidi.

journal_name

Ann Ital Chir

authors

Martino G,Pasta V,Ciardi A,Palmieri A,Marinaccio L,Malavenda MS,Monti M

subject

Has Abstract

pub_date

2013-12-06 00:00:00

issue

ePub

eissn

0003-469X

issn

2239-253X

pii

S2239253X13019877

journal_volume

84

pub_type

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