papillary cystadenoma of the epididymis

Papillary cystadenomas of the epididymis are the second most common benign tumors of the epididymis after adenomatoid tumors and are common in patients with von Hippel-Lindau disease (vHL).

Clinical presentation

Papillary cystadenomas are usually asymptomatic.

Epidemiology

They are more common in young men (20-40 years) . Approximately 30% of patients have vHL and ~35% (range 10-60%) of patients with vHL have papillary cystadenoma(s) .

Radiographic features

Lesions are usually arising from the head of the epididymis and can present as a cystic lesion with a thick wall and several peripheral solid nodules with increased vascularity, partially or completely cystic or solid lesion and measuring up to 3 cm in diameter .

Differential diagnosis

Considerations include:

• epididymal cysts
• spermatoceles
• teratomas 
• adenomatoid tumors of the scrotum

Practical points

Patients with bilateral papillary cystadenomas of the epididymis should be considered for vHL screening .

See also

• epididymal lesions
• paratesticular lesions

Siehe auch:

• Tumoren des Nebenhodens
• epididymal cystadenoma in Von Hippel-Lindau disease
• cystic skrotal lesions

und weiter:

• Kystom
• Zystadenom