Testicular Fibroma of Gonadal Stromal Origin with Minor Sex Cord Elements, Presenting with Hydrocele

Abstract

Testicular fibroma of gonadal stromal origin is a rare benign tumor of testis which usually presents as a slow growing testicular mass. Only 25 cases of testicular fibroma have been reported in the literature. Presence of minor sex cord elements in this tumor is even rarer. We report a case of testicular fibroma with minor sex cord elements that involved almost the entire testis and tunica vaginalis. The patient presented with hydrocele, a rare presentation for this entity. The rarity of the diagnosis and the clinical presentation prompted this case report.

Preoperative Magnetic Resonance Imaging Cannot Predict the Presence of a Rare Myoid Gonadal Stromal Testicular Tumor: A Case Report

“…To our knowledge, the 18th case of MGST was published in 2022. In the previous reports, these tumors were described under different names such as the diffuse gonadal form of stromal tumors, testicular fibroma, thecoma-like Sertoli cell tumor, and theca cell tumor [4]. The pathological characteristics of the tumor were primarily highlighted in previous studies; however, the number of studies that focus on the radiological characteristics of MGST is limited.…”