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Ultrasound image showing tubular ectasia of the rete testis as an incidental finding in an 81 year old male. Rete tubular ectasia, also known as cystic transformation of rete testis [1] is a benign condition, usually found in older men, involving numerous small, tubular cystic structures within the rete testis.
The rete testis (/ ˈ r iː t i ˈ t ɛ s t ɪ s / REE-tee TES-tis; pl.: retia testes) is an anastomosing network of delicate tubules located in the hilum of the testicle (mediastinum testis) that carries sperm from the seminiferous tubules to the efferent ducts. It is the homologue of the rete ovarii in females. [1]
It is the homologue of the rete testis in males. [2] It is a narrow hilus , at which nerves and vessels enter the ovary . In the medulla of the mammalian ovary near the hilus are small masses of blind tubules or solid cords—the rete ovarii—which are homologous with the rete testis in the male.
In the central mass a series of cords appear, and the periphery of the mass is converted into the tunica albuginea, thus excluding the surface epithelium from any part in the formation of the tissue of the testis. The cords of the central mass run together toward the future hilum and form a network which ultimately becomes the rete testis.
The lobules are conical in shape, the base being directed toward the circumference of the organ, the apex toward the mediastinum testis. Each lobule is contained in one of the intervals between the fibrous septa which extend between the mediastinum testis and the tunica albuginea , and consists of from one to three, or more, minute convoluted ...
The rete testis connects to the epididymal head via the efferent ductules. The epididymis is located posterolateral to the testis and measures 6–7 cm in length. At sonography, the epididymis is normally iso- or slightly hyperechoic to the normal testis and its echo texture may be coarser.
Cystadenocarcinoma is a malignant form of a cystadenoma and is a cancer derived from glandular epithelium, in which cystic accumulations of retained secretions are formed. The neoplastic cells manifest varying degrees of anaplasia and invasiveness, and local extension and metastases occur
It mainly presents in the genital tract, in regions such as the testis [1] and epididymis. [2] Because of this, researchers had a difficult time concluding that type of tumor has a mesothelial origin. Immunohistochemistry staining of tumor samples show that it is indeed positive for mesothelial-markers (calretinin, WT1, and CK6). [3]