Der Urologe

, Volume 46, Issue 12, pp 1697–1703

Benigne zystische Raumforderungen des Hodens

Eine Übersicht
  • G. Bonkat
  • R. Ruszat
  • T. Forster
  • S. Wyler
  • V.S. Dogra
  • A. Bachmann
Übersichten

Zusammenfassung

Hodenzysten werden im Rahmen der skrotalen Sonographie zunehmend diagnostiziert. Grund hierfür ist u. a. die flächendeckende Verfügbarkeit moderner, hochauflösender Ultraschallgeräte. Differentialdiagnostisch und ätiologisch sind benigne und maligne Erkrankungen mit testikulärer Zystenbildung voneinander zu unterscheiden. Benigne Krankheitsbilder mit zystischen Raumforderungen des Hodens sind die tubuläre Ektasie des Rete testis, die zystische Dysplasie, Epidermoidzysten, einfache intraparenchymatöse Hodenzysten und Zysten der Tunica albuginea. Die testikuläre Dermoidzyste, die lange Zeit zu Unrecht als potentiell maligne angesehen wurde, ist ebenfalls als benigne zu klassifizieren. Bei Diagnose einer benignen zystischen Raumforderung des Hodens kann in den meisten Fällen eine organerhaltende operative Therapie oder ein abwartendes, überwachendes Procedere empfohlen werden.

Schlüsselwörter

Hodenzysten Tubuläre Ektasie Zystische Dysplasie Epidermoidzyste Dermoidzyste 

Benign space-occupying cysts in the testis

An overview

Abstract

Testicular cysts are increasingly diagnosed in the course of scrotal ultrasound examination. Among other things this is due to the general availability of modern high-resolution ultrasound devices. Benign and malignant diseases with testicular cyst formation need to be differentiated by differential diagnosis and by their aetiology. Benign diseases with cystic space-occupying lesions of the testicle are tubular ectasia of the rete testis, cystic dysplasia, epidermoid cysts, simple intraparenchymatous testicular cysts and cysts of the tunica albuginea. Testicular dermoid cyst was long misleadingly regarded as potentially malignant, but is now classified as benign. On diagnosis of a benign lesion of the testis an organ-conserving surgical therapy or an observational watch-and-wait strategy can be recommended in most cases.

Keywords

Testicular cysts Tubular ectasia Cystic dysplasia Epidermoid cyst Dermoid cyst 

Literatur

  1. 1.
    Dmochowski RR, Rudy DC, Weitzner S, Corriere JN (1989) Simple cysts of the testis. J Urol 142: 1078–1081PubMedGoogle Scholar
  2. 2.
    Tosi SE, Richardson JR (1975) Simple cysts of the testis: case report and review of the literature. J Urol 114: 473–475PubMedGoogle Scholar
  3. 3.
    Haber MM, Cohen MB (1992) Simple cysts of the testis. Urology 39: 563–566PubMedCrossRefGoogle Scholar
  4. 4.
    Dogra VS, Gottlieb RH, Rubens DJ, Liao L (2001) Benign intratesticular Lesions: US Features. Radiographics 21: 273–281Google Scholar
  5. 5.
    Shergill SI, Thwaini A, Kapasi F et al. (2006) Management of simple intratesticular cysts: A single-institution 11-Year Experience. Urology 67: 1266–1268PubMedCrossRefGoogle Scholar
  6. 6.
    Frater K (1929) Cysts of the tunica albuginea (cysts from the testis). J Urol 21: 135–140Google Scholar
  7. 7.
    Gooding GA, Leonhardt W, Stein R (1987) Testicular cysts: US findings. Radiology 163: 537PubMedGoogle Scholar
  8. 8.
    Lock UC, Liebold M, Barba M et al. (2000) Zystische Raumforderungen des Hodens. Aktuel Urol 353–358Google Scholar
  9. 9.
    Burrus JK, Lockhart ME, Kenney PJ et al. (2002) Cystic ectasia of the rete testis: Clinical and radiographic features. J Urol 168: 1436–1438PubMedCrossRefGoogle Scholar
  10. 10.
    Leissring JC, Oppenheimer ROF (1973) Cystic dysplasia of the testis: A unique congenital anomaly studied by microdissection. J Urol 110: 362–363PubMedGoogle Scholar
  11. 11.
    Eberli D, Gretener H, Domman-Scherrer C et al. (2002) Dysplasia of the testis: A very rare paediatric tumor of the testis. Urol Int 69: 1–6PubMedCrossRefGoogle Scholar
  12. 12.
    Levent E, Ayhan K, Koray Agras et al. (2001) A rare cause of cystic testicular mass in an infant. Scand J Urol Nephrol 35: 153–155CrossRefGoogle Scholar
  13. 13.
    Nistal M, Regadera J, Paniagua R (1984) Cystic dysplasia of the testis. Light and electron microscopy study of three cases. Arch Pathol Lab Med 108: 579–583PubMedGoogle Scholar
  14. 14.
    Tesluk H, Blankenberg TA (1987) Cystic dysplasia of the testis. Urology 29: 47–49PubMedCrossRefGoogle Scholar
  15. 15.
    Glantz L, Hansen K, Caldamone A, Medeiros LJ (1993) Cystic dysplasia of the testis. Hum Pathol 24: 1142–1145PubMedCrossRefGoogle Scholar
  16. 16.
    Levent E, Ayhan K, Koray Agras et al. (2001) A rare cause of cystic testicular mass in an infant. Scand J Urol Nephrol 35: 153–155CrossRefGoogle Scholar
  17. 17.
    Fisher JE, Jewett TC, Nelson SJ, Jockin H (1982) Ectasia of the rete testis with ipsilateral rena agenesis. J Urol 128: 1040–1043PubMedGoogle Scholar
  18. 18.
    Noh PH, Cooper CS, Snyder HM (1999) Conservative management of cystic dysplasia of the testis. J Urol 162: 2145PubMedCrossRefGoogle Scholar
  19. 19.
    Toffolutti T, Gamba PG, Cechetto G et al. (1999) Testicular cystic dysplasia: evaluation of three new cases treated without surgery. J Urol 162: 2146–2148PubMedCrossRefGoogle Scholar
  20. 20.
    Dockerty MB, Priestly JT (1942) Dermoid cysts of the testis. J Urol 48: 392–400Google Scholar
  21. 21.
    Price EB Jr (1969) Epidermoid cysts of the testis: a clinical and pathologic analysis in 69 cases from the testicular tumor registry. J Urol 102: 708–713PubMedGoogle Scholar
  22. 22.
    Cheng L, Zhang S, MacLennan GT et al. (2006) Interphase flouroescence in situ hybridization analysis of chromosome 12p abnormalities is usefull for distinguishing epidermoid cysts of the testis from pur teratoma. Clin Cancer Res 12: 5668–5672PubMedCrossRefGoogle Scholar
  23. 23.
    Ulbright TM (2005) Germ cell tumors of the gonads: a selective review emphasizing problems in differential diagnosis, newly appreciated, and controversial issues. Mod Pathol 18: 61–69CrossRefGoogle Scholar
  24. 24.
    Langer JE, Ramchandani P, Siegelmann ES et al. (1999) Epidermoid cysts of the testicle: sonographic and MRI imaging features. AJR Am J Roentgenol 173: 1295–1299PubMedGoogle Scholar
  25. 25.
    Garett JE, Cartwight PC, Snow BW et al. (2000) Cystic testicular lesions in the pediatric population. J Urol 163: 928–936CrossRefGoogle Scholar
  26. 26.
    Dogra VS, Gottlieb, Oka M, Rubens DJ (2003) Sonography of the scrotum. Radiology 227: 18–36PubMedCrossRefGoogle Scholar
  27. 27.
    Eble JN, Sauter G, Epstein JI, Sesterhenn I (2004) WHO Classification of tumours. Pathology and genetics. Tumours of the urinary system and male genital organs. IARC Press, Lyon, FranceGoogle Scholar
  28. 28.
    Ulbright TM, Srigley JR (2001) Dermoid cyst of the testis: A study of five postpubertal cases, including a pilomatrixoma-like variant, with ecvidence supporting its separate classification from mature testicular teratoma. Am J Surg Pathol 25: 788–793PubMedCrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag 2007

Authors and Affiliations

  • G. Bonkat
    • 1
  • R. Ruszat
    • 1
  • T. Forster
    • 1
  • S. Wyler
    • 1
  • V.S. Dogra
    • 2
  • A. Bachmann
    • 1
  1. 1.Urologische KlinikUniversitätsspital BaselBaselSchweiz
  2. 2.Department of Imaging SciencesUniversity of Rochester Medical CenterRochesterUSA

Personalised recommendations