Korean J Urol.  2013 Jun;54(6):412-414.

Primary Adenocarcinoma of the Rete Testis With Preceding Detection of Unilateral Hydronephrosis

• Lee BW
• Park MG
• Cho DY
• Park SS
• Yeo JK

Abstract

Primary adenocarcinoma of the rete testis is a rare malignant testicular tumor with a poor prognosis. Here we report the case of a 54-year-old man with right hydronephrosis that was detected before the diagnosis of the primary testicular lesion. During the evaluation of the right hydronephrosis by use of abdominopelvic computed tomography, a painless, hard, solid lesion was found on the right testis. The patient underwent radical orchiectomy, and the pathologic examination revealed an adenocarcinoma of the rete testis. Multiple metastases were present at the time of diagnosis. The patient received combined chemotherapy after the surgery but lived only 8 months after the initial diagnosis.

Keyword

Adenocarcinoma; Hydronephrosis; Rete testis

MeSH Terms

Adenocarcinoma
Humans
Hydronephrosis
Neoplasm Metastasis
Orchiectomy
Prognosis
Rete Testis
Testis

Figure

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  FIG. 1 (A) Computed tomography image showing right hydronephrosis (black arrow) and metastatic lymphadenopathy (white arrow). (B) Computed tomography image showing heterogeneous enhancement of the right testis with hydrocele.

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  FIG. 2 (A) The tumor cells show cuboidal nuclei with acidophilic cytoplasm (H&E, ×200). (B) Positivity for carcinoembryonic antigen (CEA) is seen throughout the tumor tissue (×100).

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