World J Mens Health.  2013 Apr;31(1):79-82.

Multiple Intratesticular Cysts

• Kang SM
• Hwang DS
• Lee JW
• Chon WH
• Park NC
• Park HJ

Abstract

Intratesticular cysts, once thought to be a rarity, are now being reported with an increasing prevalence as a result of the wider use of scrotal ultrasound scanning. Despite greater understanding of intratesticular cysts, their management remains unclear. Treatment has included enucleation and even radical orchiectomy over fear of the possibility of an associated malignancy. A more conservative approach with serial ultrasound scanning has been advocated if a clear distinction can be made between neoplastic and non-neoplastic testicular cysts. However, in view of the benign nature of such cysts, even repeated ultrasound scanning may not be necessary and may be considered over-treatment. In this study we present clinical and morphological characteristics of multiple cysts in the right testicle in a 62-year-old patient, where a slightly nodular lesion in the right testicle was detected.

Keyword

Cysts; Testis; Neoplasms

MeSH Terms

Humans
Orchiectomy
Prevalence
Testis

Figure

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  Fig. 1 Multiple simple cyst in the right testis: a well circumscribed, anechoic area with a smooth wall and posterior acoustic enhancement.

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  Fig. 2 The specimen was a product of right intratesticular cyst excision, measuring 0.2 g in weight with dimensions of 1.0×0.8×0.6 cm.

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  Fig. 3 Multiple simple cysts were seen. The cyst wall was fibrous tissue completely lined by simple flattened epithelial cells. There were no sperm in the cyst (H&E stain, ×40).

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