Objective: We report a case of fibromatous periorchitis, a rare entity that may have differential diagnosis problems with other lesions.
Methods: Our patient underwent a surgical procedure with resection of the tunica vaginalis testis after intraoperative histological evaluation.
Results: Findings observed in both intraoperative biopsy and specimen histopathological study were key for diagnosis.
Conclusions: Although macroscopic appearance of the lesion can be of great value, fibromatous periorchitis diagnosis is based on the histologic features, being important to avoid erroneous therapeutic decisions.
Download full-text PDF |
Source |
---|
Oman Med J
November 2015
Pathology Department, Goa Medical College, Goa, India.
Objectives: Tumors and tumor-like lesions (TLL) of the paratesticular region are rare. Very few studies depicting the spectrum of lesions of this location are available in the literature. Malignant neoplasms arising in the paratesticular region represent only 7.
View Article and Find Full Text PDFA review article dealing with the most common pseudotumors of the testicular region. Nodules of immature tubules, pseudotumors in adrenogenital syndrome, fibromatous periorchitis, pseudosarcomatous myofibroblastic proliferation, posstraumatic mesothelial glandular inclusions and vasitis nodosa are described in detail, including morphologic and immunohistochemical features, altogether with a differential diagnostic approach. Key words: testis - testicular adnexa - nodules of immature tubules - pseudotumors in adrenogenital syndrome - fibromatous periorchitis - pseudosarcomatous myofibroblastic proliferation - posstraumatic mesothelial glandular inclusions - vasitis nodosa.
View Article and Find Full Text PDFJ Pak Med Assoc
January 2009
Department of Pathology & Microbiology, Aga Khan University, Karachi, Pakistan.
We report a case of diffuse fibrous pseudotumour/fibromatous periorchitis, in a 43 year old male, that completely encased the right testis and was adjacent to a hydrocoele cavity. Although fibrous pseudotumours of this region are uncommon, they are reported to be the second most common benign paratesticular lesion after adenomatoid tumours. These comprise approximately 6 percent of paratesticular lesions, and are accepted as reactive lesions secondary to trauma, hydrocoele, infections or inflammation.
View Article and Find Full Text PDFUrology
March 2006
Department of Urology, University of Tennessee Medical Center, Knoxville, Tennessee 37920, USA.
Fibrous pseudotumors of the tunica vaginalis, epididymis, and spermatic cord are uncommon benign paratesticular masses. An extremely rare variant termed "fibromatous periorchitis" exhibits diffuse proliferative encasement of the testis and manifests grossly as an indurated testis reminiscent of malignancy. We present the case of a 25-year-old man who presented with a grossly abnormal testicular examination and benign scrotal ultrasound findings and pathologic evidence of fibromatous periorchitis.
View Article and Find Full Text PDFArch Pathol Lab Med
June 2003
Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Fibrous pseudotumors of the testicular tunics and paratesticular soft tissue are uncommon lesions. They typically arise as painless scrotal masses that may be associated with a hydrocele or history of trauma or infection. Although these lesions are clinically worrisome for a malignant neoplasm, they are thought to be reactive in nature, since they are composed of dense fibrous tissue with interspersed bland fibroblasts and myofibroblasts and mixed inflammatory cells.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!