Residency Program - Case of the Month
November 2011 - Presented by Brian Gorospe, M.D.
The patient is a 62-year-old male, with no significant past medical history, who presented with a chief complaint of a lump in his right testicle causing mild discomfort. Physical exam revealed a well-circumscribed 1.0 cm mass in the posterior aspect of his right testicle. The mass was mildly tender to palpation. A scrotal ultrasound revealed 1.2 x 1.1 x 1.0 cm solid heterogenous vascular mass adjacent to the right epididymal head. The mass remained stable on subsequent q 3-6 month serial ultrasound examinations, however, due to continued mild testicular pain, the patient elected to undergo surgical excision of the mass.
The specimen consisted of rubbery tan segment of soft tissue, measuring 1.4 x 1.2 x 1.0 cm. Sectioning of the specimen revealed a cystic structure filled with yellow-tan to red-brown cystic material. The cyst wall measured up to 0.1 cm in maximal thickness.