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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Malignant mesothelioma of the tunica vaginalis testis: a malignancy associated with recurrent epididymitis?

World Journal of Surgical Oncology > Ausgabe 1/2012
Ching-Heng Yen, Chun-Te Lee, Chung-Jen Su, Hua-Cheng Lo
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-238) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

CHY and HCL were responsible for delivering patient care. CTL and CJS provided opinions in diagnosis and treatment. CHY contributed towards to drafting the manuscript while HCL provided overall supervision and edited the final version of the manuscript. All authors read and approved the final manuscript.


A 53-year-old Taiwanese male had several episodes of left epididymitis with hydrocele refractory to antibiotic treatment. Partial epididymectomy plus preventive vasectomy were planned, and, incidentally, an ill-defined nodule was found lying on the tunica vaginalis near the epididymal head. The pathological diagnosis was malignant mesothelioma of the tunica vaginalis testis. Radical orchiectomy with wide excision of the hemi-scrotal wall was performed. So far, there is no evidence of recurrence after more than 3 years of follow-up. Malignant tumor should be considered in the case of recurrent epididymitis refractory to empirically effective antibiotic treatment. Although the nature of this tumor is highly fatal, the malignancy can possibly be cured by early and aggressive surgical treatment.
Authors’ original file for figure 1
Authors’ original file for figure 2
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