Cancer of the epididymis

Appendage tumors of the testes are of great rarity.

Usually localized in the tail Department, at least in the body of the appendage, not reaching more than 5-6 cm in diameter. The surface benign tumors of smooth, malignant - bumpy. The tumor often consists of several nodes, clearly visible on the section. 3/4 appendage neoplasms are benign - they constitute the majority adenomatoid tumor (mesothelioma). Among malignant tumors of the epididymis are most common sarcoma and cancer.

An early sign of a tumor is the occurrence in the epididymis small painless seal, which is usually accidentally discovered by the sick. Sarcoma and carcinoma of the epididymis can spread to the testis, and also give metastases to distant organs, even with small primary tumors (less than 3-4 cm in diameter).

Detection of primary tumors of the epididymis is difficult because the clinical picture of the disease there are no pathognomonic symptoms. Appendage tumors - a very rare disease, but at the same time, other, similar, nosological forms are very common. Differential diagnosis of tumors of the epididymis have to spend with his inflammatory diseases of different etiology and seminal cysts. In particularly difficult cases, the question decide about the diagnosis by biopsy.

If you suspect a tumor of the epididymis should be epididymectomy urgent biopsy. If the tumor histological examination will prove to be malignant, it is necessary to produce high hemicastration with prophylactic irradiation of pelvic and lumbar lymph nodes in the postoperative period.

The prognosis for benign tumors is favorable, with malignant or equivocal.