Adenomatoid tumors are rare benign neoplasms of mesothelial origin, typically involving the paratesticular region, most commonly the epididymis (Kuhn and Maclennan J Urol, 174:723 2005). These tumors are usually small, firm, and asymptomatic, often discovered incidentally during physical examination or imaging (Farah et al. Cureus, 15(10): e47505 2023). Due to their nonspecific clinical and radiological features, diagnosing adenomatoid tumors can be challenging, often requiring histopathological examination for confirmation (Rafailidis et al. Andrology, 9:1383-94 2021). This case report describes a 39-year-old male presenting with a scrotal mass and pain, ultimately diagnosed with an adenomatoid tumor of the epididymis. The diagnostic workup, surgical management, and postoperative outcomes are discussed, highlighting the importance of histopathological confirmation in such cases (Efared et al. Afr J Urol, 28:59 2022).
