“…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.…”