AI Article Synopsis
- The report discusses a unique case of a giant multicystic cystadenoma originating from Cowper's glands in a healthy 41-year-old man who experienced acute urinary retention and had a perineal mass.
- Imaging techniques confirmed the presence of a multicystic tumor, which was successfully removed through en bloc excision, with histological analysis indicating the tumor's benign nature.
- This case highlights the need to consider cystadenomas of Cowper's glands as a potential diagnosis for pelvic cystic tumors, suggesting that surgical excision can both confirm the diagnosis and serve as a curative treatment.
Article Abstract
We report what to our knowledge is the first case of a giant multicystic cystadenoma of the Cowper's glands. An otherwise healthy 41-year-old man presented with acute urinary retention. Physical examination showed a perineal mass. Different imaging techniques demonstrated a multicystic tumor and en bloc excision was performed. Histological evaluation showed that the tumor arised from the bulbourethral glands; immunohistochemistry proved positive staining for high molecular weight cytokeratin. CASE HYPOTHESIS: Cystic tumors in the pelvis can arise from different structures. Malignancy should be ruled out. Surgical excision can be diagnostic and curative. Future implications: When evaluating a pelvic cystic tumor, Cowper's glands cystadenoma may be a differential diagnosis and must be considered. Similar to prostate cystadenomas, en bloc excision is the optimal treatment.
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| http://dx.doi.org/10.1590/S1677-5538.IBJU.2013.05.17 | DOI Listing |
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