XXXX treated by enucleation.

@entity1 @entity5 @entity602 @entity1822 @entity158
Spermatic @entity602 are rare @entity5 and standard treatment consists of radical orchiectomy and high cord ligation. We report a case of a @entity1822 successfully treated by enucleation. A 22-year-old @entity1 presented with a 6-months history of @entity158 . Physical examination revealed a right paratesticular nodule about 0.5 cm in diameter. Inguinal exploration and nodule biopsy were performed. It was thought to be a benign epididymal nodule on a quick section and the @entity5 was enucleated and sent for paraffin section. Histology and immunohistochemistry were compatible with @entity1822 . The @entity1 was advised to undergo radical orchiectomy with high cord ligation. However, he refused surgery. An alternative approach with clinical, biochemical and radiological follow-up was adopted. The @entity1 has been followed up for thirteen years and shows no evidence of disease.
