Paratesticular inflammatory pseudotumour, a rare case.

Urol Case Rep

MM Medical College and Hospital, Solan, 173229, Himachal Pradesh, India.

Published: November 2022

Paratesticular masses are not infrequent, however the diagnosis is challenging. Differentiation from testicular tumours is of utmost importance. One of the rare forms is a fibrous pseudotumours with only about a couple of hundred cases documented worldwide. We present a case of left paratesticular inflammatory pseudotumour.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9465314PMC
http://dx.doi.org/10.1016/j.eucr.2022.102211DOI Listing

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Article Synopsis
  • Paratesticular inflammatory pseudotumor is a rare condition that can look like cancer, making it hard to diagnose and treat.
  • A 52-year-old man experienced pain in his left testicle, followed by back pain and leg stiffness, leading to a surgery called left radical orchiectomy.
  • The biopsy after surgery confirmed the diagnosis, highlighting the importance of histopathological analysis and timely surgical treatment for these benign tumors.
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  • * A young man was found to have a right scrotal mass initially thought to be a solitary fibrous tumor but was later identified as a benign fibrous pseudotumor after thorough examination.
  • * This case underscores the need for detailed diagnostic methods, like advanced imaging and intraoperative evaluations, to prevent unnecessary surgeries and ensure correct treatment of these benign conditions.
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Inflammatory pseudotumour of the testis is a rare but important clinical entity to be recognised by the surgical trainee. We present a case of a 30-year-old gentleman who presented with a hard painless testicular mass. Ultrasound scrotum revealed a diffuse paratesticular swelling arising from the tunica vaginalis with a normal-appearing testis.

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