Malignant mesothelioma of tunica vaginalis: Two extremely rare case reports
| Autor: | Erdem Kisa, Burak Karabacakoğlu, Orcun Celik, Tufan Süelözgen, Yusuf Ozlem Ilbey, Serdar Yardım, Mert Hamza Özbilen, Barış Karademir |
|---|---|
| Přispěvatelé: | İLBEY, YUSUF ÖZLEM |
| Rok vydání: | 2021 |
| Předmět: |
endocrine system
medicine.medical_specialty urogenital system business.industry medicine.medical_treatment Tunica vaginalis General Medicine urologic and male genital diseases medicine.disease Radiation therapy medicine.anatomical_structure Pathology Result Hydrocele medicine Radiology Mesothelioma Epididymitis business Abscess Testicular cancer |
| Zdroj: | Urologia. |
| ISSN: | 1724-6075 |
| Popis: | Introduction: Malignant mesothelioma (MM) of tunica vaginalis is a very rare tumor and it has a poor prognosis. It is not easy to diagnose the disease preoperatively because there is a lack of comprehensive studies and information about the disease. We would like to present our two cases with severe scrotal edema and hydrocele, which were debrided perioperatively due to scrotal necrosis, followed by radical inguinal orchiectomy and subsequently diagnosed as MM of tunica vaginalis. Case 1: A 74-year-old male patient with bilateral scrotal swelling for 6 months. Right radical inguinal orchiectomy was performed. The pathology result of right radical inguinal orchiectomy material was compatible with malignant mesothelioma of tunica vaginalis. Case 2: A 90-year-old male patient with complaints of right scrotal swelling for 3 years. A right radical inguinal orchiectomy was performed. The pathology result of right radical inguinal orchiectomy material was compatible with malignant mesothelioma of tunica vaginalis. Conclusion and discussion: MM has a very poor prognosis therefore early treatment plan should be made. Surgery is the main treatment for malignant mesothelioma of the testis. Although chemotherapy and radiotherapy play an active role in the treatment of metastatic disease, surgery is the first-line therapy in the treatment of the tumor. Also; long-term hydrocele, recurrent epididymitis, scrotal edema can make it harder to detect the tumor diagnosis. MM should be considered in such patients. Necrosis and abscess appearance was not mentioned before in published case reports. In this respect, it should not be ignored the long-term hydrocele situation and the appearance of abscess-epididymitis that cannot be treated properly. |
| Databáze: | OpenAIRE |
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