Intrascrotal paratesticular accessory spleen.

J Ultrasound Med

Department of Radiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141-3098, USA.

Published: February 1996

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http://dx.doi.org/10.7863/jum.1996.15.2.173DOI Listing

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Article Synopsis
  • A young boy went to the doctor because he had a large, painless lump in his scrotum (the bag that holds the testicles).
  • After tests, the doctors took out the lump, and it turned out to be something called a paratesticular fibrous pseudotumour, which is pretty unusual.
  • This kind of lump can look like a more serious problem, so the doctors wanted to learn more about it and how to tell it apart from worse conditions.
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Paratesticular embryonal rhabdomyosarcoma (RMS) is a very rare and aggressive mesenchymal tumor. It is usually seen in children and adolescents presenting as a painless intrascrotal mass, localized in the paratesticular region. Hereby, we report two cases of paratesticular embryonal RMS in adults.

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Article Synopsis
  • Paratesticular tumors (PTs) are rare, making up about 5% of intrascrotal tumors, with adenomatoid tumors (ATs) being the most common type.
  • Ultrasound is the primary imaging method used for scrotal evaluation, but it struggles to differentiate between benign ATs and malignant lesions since they can appear similarly.
  • The case discussed highlights that real-time tissue elastography (RTE) can mistakenly show ATs as "hard" like malignant tumors, suggesting that additional diagnostic methods like fine-needle aspiration cytology (FNAC) are necessary for accurate diagnosis.
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Background: Paratesticular fibrous pseudotumor (PFP) is a rare intrascrotal benign fibrous mass of uncertain aetiology, usually arising between testicular tunica layers and is supposed to be related to inflammatory reactive conditions. Because of morphological similarities to IgG4-related sclerosing fibro-inflammatory lesions, some authors recently postulated that PFP might belong to the IgG4-related disease (IgG4-RD) family. Considering the rarity of this lesion, only few cases have been reported in literature about the correlation between IgG4-RD and PFP.

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Introduction And Importance: Paratesticular fibrous pseudotumor is a rare benign tumor. Clinically, it can mimic testicular malignancy, but this lesion results from a reactive proliferation of inflammatory and fibrous tissue.

Case Presentation: A 62-year-old man presented with left scrotal swelling dating back years.

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