Ectopic Adrenocortical Tissue In The Spermatic Cord In Association With Testicular Teratoma

Abstract

93 Ectopic adrenal tissue (EAT) was first identified in the vicinity of the adrenal gland by Morgagni in 1740 (1). Since that time, it has been reported in many and various locations, such as kidney, liver, brain and genital tract (2,3). The explanation for the association with gonad is the close proximity of the developing adrenal cortex to genital ridge in the embryo (2). The appearance of the ectopic nodules is yellow, round and soft. Their size ranges between 1-4mm. In literature, only 1 case of simultaneous association of EAT and testicular cancer has been reported (4). In this case report, we present a 3 month old baby boy who had ectopic adrenal tissue in association with testicular teratoma in the spermatic cord. Case Report A 3 month old baby boy was referred us because right palpable scrotal mass. His scrotal ultrasound (US) revealed a 32x22x16 mm solid lesion located in the inferior portion of the right testicle. Right inguinal orchidectomy was performed. The histological examination of the lesion was reported as a testicular teratoma with immature components in association with an 2mm ectopic adrenal tissue in an area adjacent to ductus epididymis, which was confirmed with the immunostaining.