MAIN FINDINGS: 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.
Written by:
Villeda-Sandoval CI1, Romero-Vélez G, Lisker-Cervantes A, de Zavaleta MS, Trolle-Silva A, de Oca DM, Castillejos-Molina R Are you the author?
1Department of Urology, Instituto Nacional de Ciencias Médicas y Nutricion Salvador Zubirán, MEXICO
Reference: Int Braz J Urol. 2013 Sep-Oct;39(5):741-6
doi: 10.1590/S1677-5538.IBJU.2013.05.17
PubMed Abstract
PMID: 24267116
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