Case reportFibrous pseudotumor of tunica vaginalis and epididymis
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
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Cited by (48)
MRI of scrotum and testicles
2023, Magnetic Resonance Imaging of The Pelvis: A Practical ApproachParatesticular fibrous pseudotumour in a 26-year-old Nigerian man: A case report
2021, International Journal of Surgery Case ReportsSpermatic Cord and Testicular Adnexa
2020, Urologic Surgical PathologyCalcifying Fibrous Tumor of the Tunica Vaginalis Testis: A Report of 2 Cases
2017, UrologyCitation Excerpt :Patients in the following age groups appeared to be more frequently affected: 0-4, 25-29, and 30-34 years.2 Tobias-machado et al reported that Balloch first described the fibrous pseudotumor in 1904.13 Although the fibrous tumor was not common, the authors reported that the incidence of fibrous pseudotumor was second after that of the adenomatous benign tumor of the testis.11
Testicular fibrous pseudotumour as a rare intrascrotal mass
2015, Revista Internacional de AndrologiaMR imaging of scrotum
2014, Magnetic Resonance Imaging Clinics of North AmericaCitation Excerpt :In epididymitis/epididymo-orchitis, MR imaging shows a slightly high signal on T2-weighted images, increased diffusion, and inhomogeneous enhancement (see Fig. 18; Fig. 20). Solid neoplasms of the paratesticular space are rare.13,14,43–49,88,89 They may occur at all ages, usually presenting as slow-growing painless scrotal masses.