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paratesticular Wolffian multicystic mass

Friday 10 September 2010

Synopsis

 unilateral multicystic mass in the connective tissue adjacent to the vas deferens - distinct from the epididymis and vas
 contains no sperm
 epithelial lining : simple, ciliated, and cuboidal to columnar
  cysts surrounded by connective tissue collars containing smooth muscle

This lesion could represent a cystic hyperplasia of vestigial Wolffian duct remnants. The supraepididymal, paravasal location suggests origin in the paradidymis.

References

 Paratesticular multicystic mass of Wolffian, probably paradidymal, origin. Schned AR, Seremetis GM, Rous SN. Am J Clin Pathol. 1994 Apr;101(4):543-6. PMID: 8160650