Testicular hamartomas in Cowden disease.
We report a case of testicular hamartomas in association with Cowden disease. Clinical examination of the patient, a 39-year-old man, revealed a palpable mass in the right side of the scrotum. Sonographic examination showed that the mass was either a spermatocele or an epididymal cyst and that multiple hyperechoic lesions were present in both testes. On subsequent MRI, the appearance of these lesions was consistent with that of fat-containing hamartomas. Testicular biopsy was not performed, but follow-up serial sonographic examination was recommended. To our knowledge, this report is the first to describe testicular hamartomas as a probable manifestation of Cowden disease.
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
Christopher
C
Lindsay
Lisa
L
Boardman
Michael
M
Farrell
D000328:Adult; D006223:Hamartoma Syndrome, Multiple / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging*; D014463:Ultrasonography