Inflammatory myofibroblastic tumours are rare clinical presentations and are often mistaken for a malignant neoplasm. They can arise from various organs, mainly in children and young adults and most commonly from the urinary bladder. Paratesticular tissues including spermatic cord are uncommon sites for these tumours. In those arising from the paratestis, wide excision usually including an orchidectomy is the treatment of choice. A rare such tumour in a 64-year-old patient is reported here.
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