Malignant mesothelioma of tunica vaginalis testis: Report of a very rare case with review of the literature
Submitted: June 11, 2018
Accepted: July 5, 2018
Published: September 30, 2018
Accepted: July 5, 2018
Abstract Views: 1893
PDF: 1000
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Materials and methods: a 40 years old patient was admitted to our department for routine surgery of a left hydrocele. During the operation a frozen section analysis was requested because of the unusual nodular thickening of the tunica vaginalis: the examination revealed a diffuse malignant mesothelioma with epithelioid structure and tubular-papillary proliferation. Therefore a left hemi-scrotectomy with left inguinal lymph node dissection was performed.
Results: The definitive histology confirmed the previous report of diffuse malignant mesothelioma with angio-invasion but normal testicle findings and negative lymph nodes. No metastases were found on the CT-scan. For the first 2 years a CT was repeated every 4 months, for other 3 years every 6 months and then yearly. Six years after surgery the patient is classified as no evidence of disease.
Conclusions: malignant mesothelioma of the tunica vaginalis testis is a rare entity, often initially thought to be a hydrocele or an epididymal cyst. An aggressive approach with hemiscrotectomy with or without inguinal and retroperitoneal lymphadenectomy can reduce the risk of recurrence.
Supporting Agencies
noTrenti, E., Palermo, S. M., D’Elia, C., Comploj, E., Pycha, A., Carella, R., & Pycha, A. (2018). Malignant mesothelioma of tunica vaginalis testis: Report of a very rare case with review of the literature. Archivio Italiano Di Urologia E Andrologia, 90(3), 212–214. https://doi.org/10.4081/aiua.2018.3.212
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