Fibrous pseudotumor of testicular tunic

Sajjad, Syed M.; Azizi, Mohammad; Llamas, L

doi:10.1016/0090-4295(82)90058-9

Cited by 13 publications

(12 citation statements)

References 5 publications

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“…Since an early reference to a case of a peritesticular fibromatous mass by Sir Astley Cooper in 1830 and a case report by Balloch in 1904, 1,2 various case reports and small series have been published in the urology, pathology, and radiology literature. [2][3][4][5][6] Multiple other names have been applied to this and related entities, including chronic proliferative periorchitis, fibromatous periorchitis, pseudofibromatous periorchitis, reactive periorchitis, an inflammatory pseudotumor, nodular and diffuse fibrous proliferation of the tunica, a benign fibrous paratesticular tumor, granulomatous periorchitis, nonspecific peritesticular fibrosis, a nodular fibropseudotumor, and proliferative funiculitis, [7][8][9][10][11] partly reflecting the variable and overlapping spectrum of pathologic findings and various etiologic theories. Although the terminology, classification, and proposed pathogenesis have been confusing and controversial, these lesions are generally accepted to represent a benign reactive proliferation of inflammatory and fibrous tissue, likely in response to trauma, surgery, infection, or inflammation, as distinct from true benign fibrous neoplasms, which may also rarely occur in the testis and testicular tunics.…”

Section: Discussionmentioning

confidence: 99%

Fibrous Pseudotumor of the Scrotum

Germaine

Simerman

2007

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 99%

Fibrous Pseudotumor of the Scrotum

Germaine

Simerman

2007

J of Ultrasound Medicine

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“…Many terms have been used to describe this entity, including pseudofibromatous periorchitis, inflammatory pseudotumor, benign fibrous tumor, chronic proliferative periorchitis, and multiple fihromata. There is a debate as to whether this entity represents an inflammatory or neoplastic process [1,2], with a third opinion from Mostofi and Price [3] M.L. Grebenc et al: Fibrous pseudotumor of the tunica vaginalis testis who regard it as a non-neoplastic fibrous proliferation, preferring the term fibrous pseudotumor.…”

Section: Discussionmentioning

confidence: 99%

Fibrous pseudotumor of the tunica vaginalis testis: imaging appearance

1995

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Fibrous pseudotumor is a benign paratesticular tumor that typically presents as a painless mass of the herniscrotum. Because this tumor can mimic a malignant process, it is usually not diagnosed preoperatively. We describe a case of fibrous pseudotumor of the tunica vaginalis, demonstrating the ultrasound and magnetic resonance image (MRI) appearance with pathologic correlation.Key words: Paratesticular--Fibrous pseudotumor--Tunica vaginalis--Magnetic resonance imaging--Ultrasound-Hemiscrotum. Case ReportA 67-year-old man presented, complaining of right groin pain of approximately 6 weeks. On examination, he was noted to have bilateral inguinal hernias and bilateral scrotal masses. The prostate was enlarged and irregular.Initially, a testicular ultrasound was performed. The left testicle appeared normal; however, there was a large fluid collection in the tunica vaginalis of the left testicle with diffuse low-level echoes, suggesting a hematocele or proteinaceous debris. An exceptionally lobulated soft-tissue mass extended off the anterior medial wall into the tunica fluid collection. The right hemiscrotum demonstrated a hydrocele and fete testis cysts, with an otherwise normal right testicle.An MR/ was performed to better evaluate the left scrotal wall mass. A large fluid collection was located within the left hemiscrotum,The Chief, Bureau of Medicine and Surgery, Navy Department, Washington, DC, Clinical Investigation Program sponsored this report, #84-16-1968-486, as required by HSETCINST 6000.41A. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government.Correspondence to: M. L. Grebenc which had a small fluid-fluid level in the dependent side. The majority of the fluid was bright on both T1-and T2-weighted images, with the dependent fluid being darker, which is consistent with a large hematocele. A very lobulated soft-tissue mass with multiple frond-like projections arose from the anterior medial aspect of the left tunica vaginalis and extended into the hematocele. This soft-tissue mass measured approximately 4.5 cm long by 2.5 cm transverse by 2.5 cm anteriorposterior; it was intermediate in signal on all sequences, being somewhat darker on T2 than on T1 weighting, and did not enhance with gadolinium. The left testicle and the visualized epididymis were otherwise normal. The MR/confirmed the ultrasound findings in the right hemiscrotum.The patient underwent transrectal prostate biopsies, a right hydrocelectomy, a left radical orchiectomy, and bilateral herniorrhaphies. The pathologic evaluation demonstrated poorly differentiated adenocarcinoma of the prostate, which on further work-up was found to be metastatic to bone and abdominal lymph nodes. The left testicle and attached contents demonstrated a normal testicle, epididymis, and spermatic cord in association with a hematocele and two well-defined white fibrous nodular masses. These masses had a heterogenous microscopic...

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“…In many cases, a history of trauma is difficult to establish. Sajjad et al [9] also thought that a relationship with an inflammatory process (epididymitis, previous surgery, infected hydro cele. trauma, etc.)…”

Section: Hinman and Gibsonmentioning

confidence: 99%

Fibrous Pseudotumor of the Tunica vaginalis testis

Bruijnes¹,

Laddé²,

Dabhoiwala³

et al. 1984

Urol Int

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The incidence of fibrous pseudotumor of the tunica vaginalis testis is rare. It is a benign, fibroproliferative process with hyalinization and sometimes with focal calcification. In most cases malignancy is suspected although by careful physical examination it may be possible to establish the diagnosis pre-operatively. The best form of therapy is frozen section biopsy of the pseudotumor followed by excision; including if necessary the tunica vaginalis. If the pseudotumor is locally extensive an epididymectomy is sometimes necessary. A study of the literature reveals that because of the rarity of this lesion orchidectomy appears to have been performed in most cases. A case report of a patient with fibrous pseudotumor of the tunica vaginalis testis is presented.

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Fibrous pseudotumor of testicular tunic

Cited by 13 publications

References 5 publications

Fibrous Pseudotumor of the Scrotum

Fibrous Pseudotumor of the Scrotum

Fibrous pseudotumor of the tunica vaginalis testis: imaging appearance

Fibrous Pseudotumor of the Tunica vaginalis testis

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