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Rete tubular ectasia

From Wikipedia, the free encyclopedia
Ultrasound image showing tubular ectasia of the rete testis as an incidental finding in an 81 year old male

Rete tubular ectasia, also known ascystic transformation of rete testis[1] is abenign condition, usually found in older men, involving numerous small, tubularcystic structures within therete testis.

Presentation

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It is usually found in men older than 55 years and is frequently found on bilateral testes but is often asymmetrical.[1]

Mechanism

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The formation of cysts in the rete testis is associated with the obstruction of theefferent ducts, which connect the rete testis with the head of theepididymis. They are often bilateral.[2]

Diagnosis

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The condition can be detected with ultrasonography. Cystic lesions us usually found at themediastinum testis with elongated shaped lesions displacing the mediastinum.[1] It is commonly associated with epididymal abnormalities, such asspermatocele,epididymal cyst, andepididymitis. The condition shares a common location withcystic dysplasia of thetestis andintratesticular cysts. Unlike cystic neoplasms, they don't present specific tumor markers.[3] Another distinguishing feature is that tubular ectasia of the testes is confined only to the mediastinum, unliketesticular cancer such as cysticteratoma of the testis which spreads throughout the testis.[1]

Treatment

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Typically none is required, but they can be treated surgically if symptomatic.[3]

Additional images

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  • Tubular ectasia of the rete testis
    Tubular ectasia of the rete testis
  • Tubular ectasia of the rete testis
    Tubular ectasia of the rete testis
  • Tubular ectasia of the rete testis
    Tubular ectasia of the rete testis

References

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  1. ^abcdDogra, Vikram S.; Gottlieb, Ronald H.; Rubens, Deborah J.; Liao, Lydia (2001-10-01)."Benign Intratesticular Cystic Lesions: US Features".RadioGraphics.21 (suppl_1):S273 –S281.doi:10.1148/radiographics.21.suppl_1.g01oc15s273.ISSN 0271-5333.PMID 11598263.
  2. ^Nair, R; Abbaraju, J; Rajbabu, K; Anjum, F; Sriprasad, S (October 2008)."Tubular ectasia of the rete testis: a diagnostic dilemma".Annals of the Royal College of Surgeons of England.90 (7): W1–3.doi:10.1308/147870808X303119.PMC 2728311.PMID 18831860.
  3. ^abBhatt, S; Jafri, SZ; Wasserman, N; Dogra, VS (March 2011)."Imaging of non-neoplastic intratesticular masses".Diagnostic and Interventional Radiology (Ankara, Turkey).17 (1):52–63.doi:10.4261/1305-3825.DIR.3116-09.0.PMID 20677130.
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