EPIDIDYMAL LYMPHANGIECTASIS

We report on a 59-year-old man with epididymal lymphangiectasis. The p atient had noticed somewhat intermittent intrascrotal painless swellin g. The interstitium of the right caput epididymis exhibited a number o f large, dilated lymphatic vessels forming irregular channels among an d around the epididymal ducts. The afferent epididymal ducts showed di latation similar to that of the lymphatic vessels except for focal cub oid epithelial linings. Spermatogenesis in the right testis was preser ved. Lymphangiectasis in the epididymis is infrequent and needs to be differentiated from other intrascrotal lesions.