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Cystic Dysplasia Of The Testis: Spontaneous Regression

Butler et al., 2011Testicular cancer

Butler, M., Servaes, S., & Bellah, R. (2011). Cystic dysplasia of the testis: spontaneous regression. Pediatric radiology, 41(10), 1346–1348. https://doi.org/10.1007/s00247-011-2014-6

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Abstract

Cystic dysplasia of the testis is a rare disorder, characterized by irregular cystic spaces within the mediastinum or rete testis. Ipsilateral renal defects are seen in many patients with cystic dysplasia of the testis. Although cystic dysplasia of the testis is considered a benign lesion, it has typically been treated with orchiectomy. We report a child with cystic dysplasia of the testis in whom spontaneous regression of the US findings occurred. This suggests that conservative management, through regular observation with US, may be the more desirable initial course of treatment for patients with this disorder.

Case Details

Disease Location

Testis

Personal Characteristics

4 years old boy

Clinical Characteristics

Painless left scrotal swelling. Edematous testicle. Diagnosis of cystic dysplasia of the testis

Remission Characteristics

At age 14 years, follow-up scrotal us the majority of the left testis had been replaced by normal parenchyma with no residual cysts

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Follow-up, conservative management through regular observation with ultrasound