The online version of this article (doi:10.1186/1477-7819-10-238) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
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.
Ferri E, Azzolini N, Sebastio N, Salsi P, Meli S, Cortellini P: Unusual case of mesothelioma of the tunica vaginalis associated with prostatic adenocarcinoma]. Minerva Urol Nefrol. 2000, 52: 33-35. Article in Italian. PubMed
Sawada K, Inoue K, Ishihara T, Kurabayashi A, Moriki T, Shuin T: Multicystic malignant mesothelioma of the tunica vaginalis with an unusually indolent clinical course. Hinyokika Kiyo. 2004, 50: 511-513. PubMed
Al-Qahtani M, Morris B, Dawood S, Onerheim R: Malignant mesothelioma of the tunica vaginalis. Can J Urol. 2007, 14: 3514-3517. PubMed
Candura SM, Canto A, Amatu A, Gerardini M, Stella G, Mensi M, Poggi G: Malignant mesothelioma of the tunica vaginalis testis in a petrochemical worker exposed to asbestos. Anticancer Res. 2008, 28: 1365-1368. PubMed
Matsuzaki K, Nakajima T, Katoh T, Kitoh H, Mizoguchi K, Akakura K, Inoue T: Malignant mesothelioma of the tunica vaginalis: a case report. Hinyokika Kiyo. 2008, 54: 629-631. Article in Japanese. PubMed
Kato R, Matsuda Y, Maehana T, Miyao N, Konishi Y, Kon S: Intrascrotal malignant mesothelioma diagnosed after surgery for hydrocele testis: a case report. Hinyokika Kiyo. 2012, 58: 45-48. Article in Japanese. PubMed
Wolanske K, Nino-Murcia M: Malignant mesothelioma of the tunica vaginalis testis: atypical sonographic appearance. J Ultrasound Med. 2001, 20: 69-72. PubMed
Boyum J, Wasserman NF: Malignant mesothelioma of the tunica vaginalis testis: a case illustrating Doppler color flow imaging and its potential for preoperative diagnosis. J Ultrasound Med. 2008, 27: 1249-1255. PubMed
Stahel RA, Weder W, Felip E, Group EGW: Malignant pleural mesothelioma: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol. 2009, 20 (Suppl 4): 73-75. PubMed
- Malignant mesothelioma of the tunica vaginalis testis: a malignancy associated with recurrent epididymitis?
- BioMed Central
Neu im Fachgebiet Chirurgie
e.Med Kampagnen-Visual, Mail Icon II