Preprint Interesting Images Version 1 Preserved in Portico This version is not peer-reviewed

A Simple Cyst of the Testis was Found Incidentally during Castration for Prostatic Cancer

Version 1 : Received: 30 September 2023 / Approved: 30 September 2023 / Online: 1 October 2023 (10:16:18 CEST)

How to cite: Tachibana, M.; Hamayasu, H.; Nakagawa, H.; Nozawa, H.; Fukuzawa, S. A Simple Cyst of the Testis was Found Incidentally during Castration for Prostatic Cancer. Preprints 2023, 2023100004. https://doi.org/10.20944/preprints202310.0004.v1 Tachibana, M.; Hamayasu, H.; Nakagawa, H.; Nozawa, H.; Fukuzawa, S. A Simple Cyst of the Testis was Found Incidentally during Castration for Prostatic Cancer. Preprints 2023, 2023100004. https://doi.org/10.20944/preprints202310.0004.v1

Abstract

Simple cysts (SCs) within the testes are rare in adults. The testicular SC lining comprises mesothelial cells. This report presents a case involving the accidental discovery of a castration-worthy SC in the right testis of a Japanese man in his 90s who was diagnosed with prostatic adenocarcinoma. Microscopic analysis revealed that the cystic wall was covered with flat to cuboidal mesothelial cells. Immunohistochemistry demonstrated mesothelial cell positivity for calretinin, Wilms tumor 1 (WT-1), Hector Battifora mesothelial epitope-1 (HBME-1), and cyclin-dependent kinase inhibitor p16 (p16INK4a). Notably, no human papillomavirus (HPV) in situ hybridization was detected. This report outlines an exceptionally rare instance of a simple cyst within the testis, suggesting the possibility of its origin from ectopic rete testis epithelium. This marks the inaugural documentation in the English literature of an SC within the testis found incidentally during castration for prostatic cancer.

Keywords

simple cyst of the testis; mesothelium; ectopic rete testis; prostatic cancer; castration; case report

Subject

Medicine and Pharmacology, Pathology and Pathobiology

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