The following is an excerpt....
BASICS
Description
- Small solid paratesticular mass located in any portion of the epididymis
- Frequently asymptomatic; usually discovered on routine urologic physical exam
- Occasionally, pain is presenting complaint.
- Enlarging masses are concerning for possible tumor.
Epidemiology
- Not well defined
- Benign cysts more common with aging
Risk Factors
- Von Hippel-Lindau associated with cystadenoma
- DES exposure in utero: Epididymal cysts
Pathophysiology
- Most solid lesions benign
- Malignant lesions uncommon
- Metastasis rare but reported
Associated Conditions
Von Hippel-Lindau
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