Spontaneous Regression Of Cystic Dysplasia Of The Rete Testis In An 18-month-old Boy: The Key Role Of Ultrasonography
Pizzuti, G., Di Renzo, D., Persico, A., & Lelli Chiesa, P. (2021). Spontaneous regression of cystic dysplasia of the rete testis in an 18-month-old boy: the key role of ultrasonography. Journal of ultrasound, 24(1), 81–84. https://doi.org/10.1007/s40477-019-00391-4
View Original Source →Abstract
Cystic dysplasia of the rete testis (CDT) is a rare cause of scrotal swelling in children. It is a congenital disorder and it can be associated with other genitourinary abnormalities. At present, there is no clear consensus on treatment. Surgical approach has traditionally been the treatment of choice, while, more recently, conservative approach has been applied, justified by the benign nature of the lesion and after few cases of spontaneous regression have been documented. Ultrasonography, supported by negative tumor markers, plays a key role in the diagnostic work up and during observational follow-up. We report a further case of spontaneous regression of suspected CDT in an 18-month-old boy, who has been followed with clinic and ultrasonographic checks.
Case Details
Disease Location
Rete testis
Personal Characteristics
18-month-old boy
Clinical Characteristics
Referred because of painless swelling of the left hemiscrotum. Physical examination revealed an enlarged left testicle. Ultrasound (us) revealed a well-circumscribed multicystic mass in the left testicular parenchyma, in the mediastinum testis area. The lesion measured 15 × 10 × 8 mm and presented a slight vascularity at doppler examination. The residual testicular parenchyma was compressed peripherally
Remission Characteristics
During follow-up, cysts gradually decreased in size and number and the lesion completely disappeared at 6-month follow-up
Treatment & Mechanisms
Proposed Remission Mechanisms
Benign behavior of cystic dysplasia of the rete testis (cdt)