Cysts of the Tunica Albuginea—More Common Testicular Masses than Previously Thought?

Authors

  • T. L. J. TAMMELA MD, PhD,

    Corresponding author
    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
      Division of Urology, Department of Surgery, Oulu University Central Hospital, Kajaanintie 52A, SF-90220 Oulu, Finland.
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    • 2

      T. L. J. Tammela, MD, PhD, Senior Lecturer in Urology.

  • T. J. KARTTUNEN MD, PhD,

    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
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    • 3

      4T. J. Karttunen, MD, PhD, Pathologist.

  • S. I. MATTILA MD, PhD,

    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
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    • 4

      S. I. Mattila, MD, PhD, Radiologist.

  • H. P. MÄKÄRÄINEN MD, PhD,

    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
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    • 5

      H. P. Mäkäräinen, MD, PhD, Senior Lecturer in Radiology.

  • P. A. HELLSTRÖM MD, PhD,

    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
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    • 6

      P. A. Hellström, MD, PhD, Urologist.

  • M. J. KONTTURI MD

    1. Division of Urology and Departments of Pathology and Diagnostic Radiology, University of Oulu, Oulu, Finland
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      M. J. Kontturi, MD, Professor, Chief of the Division of Urology.


Division of Urology, Department of Surgery, Oulu University Central Hospital, Kajaanintie 52A, SF-90220 Oulu, Finland.

Abstract

Summary Cysts of the tunica albuginea have been considered very rare. Their clinical significance lies in their presentation as discrete testicular masses often diagnosed as malignancies prior to removal. We report our experience with 6 cases of cysts of the tunica albuginea over a 12-year period and review the relevant literature. It is obvious that these cysts can be both of epithelial and of mesothelial origin. Our material includes a cyst lined by a transitional-like epithelium, of a kind to our knowledge not reported previously. All of the cysts were found by palpation and they constituted 6% of the testicular tumours examined over the same period. High-resolution ultrasound examination can distinguish them from solid testicular masses, as in 2 cases here, thus enabling unnecessary operations to be avoided.

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