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Testicular hamartomas in Cowden disease

✍ Scribed by Christopher Lindsay; Lisa Boardman; Michael Farrell

Book ID
102329558
Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
143 KB
Volume
31
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

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. Β© 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:481–483, 2003

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Cowden disease (CD) is a rare, autosomal dominant inherited cancer syndrome characterized by multiple benign and malignant lesions in a wide spectrum of tissues. While individuals with CD have an increased risk of breast and thyroid neoplasms, the primary features of CD are hamartomas. The gene for