Malignes Mesotheliom der Tunica vaginalis testis

Abstract

A case of malignant mesothelioma of the tunica vaginalis testis is reported in a 77-year-old male patient. There was no history of asbestos exposure. Recurrent right hydrocele with a papillar inguinal mass was the main clinical feature. An inguinal radical orchiectomy with en bloc resection of the surrounding tissue was performed. The therapeutic options for this rare, but aggressive neoplasm are discussed. Because of the disappointing results of antineoplastic chemotherapy or radiation therapy, the importance of initial radical surgical treatment with complete excision is emphasized.

Hydrocele with a surprise: Malignant mesothelioma of the tunica vaginalis - Case report and review of literature

“…[ 2 ] Albeit, adjuvant therapy with antineoplastic chemotherapy or radiation therapy may be disappointing with their benefits reported to be negligible. [ 13 14 ]…”

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

“…Diagnosis is mostly made intraoperatively or postoperatively owing to the nonspecific symptoms and the absence of a tumor marker before surgery. By reviewing evidence obtained by searching PubMed for articles on malignant mesothelioma of the tunica vaginalis testis between 1998 and August 2012 [1-5,8-33], and including our case, we studied a total of 101 cases to analyze the possible clinical manifestations or preoperative diagnoses of this malignancy (Table 1). The common preoperative impressions or diagnoses were hydrocele (49.5%), suspicious testicular tumor (36.6%), inguinal hernia (5.9%), epididymitis (3%), spermatocele (2%), testicular torsion (2%), and post-traumatic testicular lesion (1%).…”

Testicular Mesothelioma

“…These methods are usually used to relieve symptoms related to mesothelioma. Other treatment options available are сhemotherapy or radiation therapy [41]. Chemotherapy or radiation may also be suggested following surgery to kill any cancerous cells that may remain.…”