A child with cystic dysplasia of the testis (CDT) that presented as a
solid mass by ultrasound imaging is reported. The child also had ipsil
ateral multicystic dysplasia of the kidney (MCDK). A search of the lit
erature revealed that unilateral renal agenesis (URA) is commonly asso
ciated with CDT. It is possible that CDT, MCDK, and URA share a common
pathogenesis. Cystic changes in the epididymis were found in the pati
ent and might be more frequently associated with CDT than previously r
eported. CDT should be considered in the differential diagnosis of a s
olid testicular mass detected by ultrasound. (C) 1998, Elsevier Scienc
e Inc. All rights reserved.