Case 11Case 11

Basic clinical dataBasic clinical data

32-year old male32-year old male Trauma of scrotal region 1 month Trauma of scrotal region 1 month

before visit of urologistbefore visit of urologist Large, multicystic mass was revealed Large, multicystic mass was revealed

using ultrasonographyusing ultrasonography Orchiectomia was performedOrchiectomia was performed

Gross viewGross view

10x5x4 cm10x5x4 cm Multicystic tumor replaced Multicystic tumor replaced

substantial part of testicular masssubstantial part of testicular mass Whitish on cut surfaceWhitish on cut surface

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chamois

Tumor was extensively sampledTumor was extensively sampled

Mucinous cystadenoma probably Mucinous cystadenoma probably with further progression into tumor of with further progression into tumor of borderline malignancy borderline malignancy

Mucinous cystadenoma of the Mucinous cystadenoma of the epididymisepididymis

Group of ovarian-type tumorsGroup of ovarian-type tumors Usually serous tumorsUsually serous tumors Mucinous tumors, Breners tumors are Mucinous tumors, Breners tumors are

exceptionally raresexceptionally rares Ovarian-types usually occured in Ovarian-types usually occured in

young adults (3rd decade)young adults (3rd decade) Tumors arise probably from appendix Tumors arise probably from appendix

testis, from Müllerian metaplasia or testis, from Müllerian metaplasia or from ovotestisfrom ovotestis

PrognosisPrognosis

Uncertain, only few cases were Uncertain, only few cases were documenteddocumented

Prognosis could be similar like in the Prognosis could be similar like in the ovarian counterpartsovarian counterparts

Diferential diagnosticsDiferential diagnostics

Particularly it is necessary to Particularly it is necessary to distinguish mucinous or serous distinguish mucinous or serous structures of structures of TERATOMATERATOMA or or mixed mixed germ-cell tumorgerm-cell tumor

GOOD SAMPLINGGOOD SAMPLING