Elsevier

Urology

Volume 56, Issue 4, October 2000, Pages 670-672
Urology

Case report
Fibrous pseudotumor of tunica vaginalis and epididymis

https://doi.org/10.1016/S0090-4295(00)00736-6Get rights and content

Abstract

Paratesticular fibrous pseudotumors are rare, and less than 10% of them affect the epididymis. We report a case of testicular trauma that progressed to a painless palpable tumor in the right hemiscrotum with increased local volume. Orchiectomy followed by anatomic-pathologic examination revealed a paratesticular fibrous pseudotumor. The best treatment is scrotal exploration and frozen biopsy. On confirmation of the diagnosis, only the tumor and the tunica vaginalis are resected. Should the benign nature not be possible to determine, orchiectomy is the procedure of choice. We also reviewed published reports for this possibility in the differential diagnosis of testicular masses.

Section snippets

Case report

A 60-year-old man presented with a history of post-trauma increased scrotal volume for 6 years that, in the past 3 months, had developed into a painless right hemipouch. On physical examination, a 5-cm tumor was palpable in the right hemiscrotum, next to the testis. It was fibroelastic, painless to palpation, without phlogistic signs, and did not adhere to the scrotal skin. There was a hardened irregular ipsilateral epididymis in its extension. Ultrasound scanning showed a homogeneous right

Comment

Paratesticular tumors are intrascrotal masses originating in structures that contain connective tissue around the testis, epididymis, or spermatic cord. Fibrous pseudotumor is one of the most rare findings of this group.1, 2, 3 In our review of published reports, we did not find an exact incidence of this tumor, but Williams et al.4 reported a study of 114 paratesticular tumors and found only 7 cases (0.061%) of fibrous pseudotumor, 6 of which were resected by orchiectomy. Only 10% of these

References (11)

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