Adenomatoid tumour of the epididymis in a torsion testis : a histopathological surprise!

Abstract

Testicular or paratesticular adenomatoid tumours are benign swellings of the human genital tract. Although benign, they prove a challenge to diagnose clinically, and thereafter treat appropriately. Often, an adenomatoid tumour can be mistaken for a testicular malignancy, causing a patient to undergo an orchidectomy. When symptomatic and diagnosed preoperatively, a testis sparing surgery can be performed in these patients. We report a patient who underwent an orchidectomy for torsion testis, and incidentally was found to have an adenomatoid tumour of epididymis. Though this patient had dull aching pain of the left testis for a significant time, he failed to seek medical help, which if he had done, would have helped him to save his testis! A detailed literature review has been done.