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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