title: [Laparoscopic removal of voluminous right seminal vesicle neoplasm].
abstract: BACKGROUND
  We present the case of a male adnexal tumor of probable Wolffian origin occurred to the right seminal vesicle of a 47-year-old man.
  
  
  METHODS
  The patient presented with a 2-month history of hematospermia. The diagnosis was achieved by transrectal ultrasound, CT of the abdomen and pelvis, and biopsy of both prostate and seminal vesicle. The patient was counseled for laparoscopic excision of the right seminal vesicle.
  
  
  RESULTS
  The right seminal vesicle, along with the tumor and the right vas deferens, were excised and clear margins were ensured by frozen section. Total operative time was 180 with 200 mL blood loss. The patient's recovery was uncomplicated and he was discharged on the fourth post-operative day. The histologic examination demonstrated a male adnexal tumor of probable Wolffian origin, which is a rare low-grade malignant neoplasm that has been previously described in the broad ligament, ovaries and retroperitoneum of females. The patient is free of relapse at a 20-month follow-up.
  
  
  CONCLUSIONS
  This is the second report of this entity in a male. The laparoscopic approach for the excision of seminal vesicle neoplasms is a good treatment for its obvious benefits of minimal blood loss, short hospital stay and quick return to normal activity. The magnifications of the anatomical details of the pelvic floor help the surgeon in the dissection of the seminal vesicle from the other structures.
authors.affiliation: Divisione di Urologia, Ospedale Carlo Poma Mantova, Italy. paolo.parma@virgilio.it
authors.forename: Paolo
authors.initials: P
authors.lastname: Parma
authors.forename: Bruno
authors.initials: B
authors.lastname: Dall'Oglio
authors.forename: Alessandro
authors.initials: A
authors.lastname: Samuelli
authors.forename: Candido
authors.initials: C
authors.lastname: Bondavalli
authors.forename: Alberto
authors.initials: A
authors.lastname: Bellomi
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000291:Adnexal Diseases / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D001706:Biopsy; D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D051516:Hemospermia / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012669:Seminal Vesicles / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014649:Vas Deferens / Q000601:surgery