A 52-year-old male presented with complaints of a painless nodule in right scrotal sac for last 2-years that was gradually but very slowly increasing in size. There was no history suggestive of urinary infection, genitor-urinary tuberculosis or epididymo-orchitis. Examination revealed a pea-sized firm, well-marginated, smooth swelling present at the lower pole of testis but that could not be separated with epididymis. Testicular sensation was normal and cord and rest of the epididymis was normal. Serum level of α-fetoprotein and β-HCG were normal. Scrotal ultrasonography revealed a solid mass at the lower pole of right testis that was relatively hyperechoic as compared to the testicular parenchyma []. Scrotal MRI revealed a well-defined lenticular lesion at lower part of right testis. The lesion displayed signals isointense to slightly hypointense on both T1- and T2-weighted images with adjacent hypointense band. The interface with the testis was maintained []. Fine-needle aspiration from the mass revealed absence of malignant cells. In view of long clinical history, negative tumor markers, findings typical of adenomatoid tumor on sonography and MRI, as reported previously,[] and absence of malignant cells on cytology local excision was performed under local anesthesia through inguinal incision. At exploration, there was a hard mass on the lower pole separate from the epididymis. Histopathology confirmed it to be an adenomatoid tumor.
A 39-year-old male presented with a palpable mass in the right side of the scrotum. There was no history suggestive of urinary infection, genito-urinary tuberculosis or epididymo-orchitis. On local examination, a mass was identified in the right testis which was 2×1.5 cm in size, firm in consistency and well-marginated with smooth swelling. The overlying skin and surrounding adenexa appeared normal. Serum levels of AFP and β-HCG were within normal limits. Scrotal ultrasound revealed a solid mass in the epididymal body of the right scrotum that was hypoechoic compared with the testicular parenchyma.