A Rare Case Report of a Paratesticular Fibrous Pseudotumor Mimicking a Hydrocele
| Autor: | Sadasivan Jagdish, Srinivasan Dharanya, Sundaramurthi Sudharsanan, Chellappa Vijayakumar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Adenomatoid tumor business.industry Urology testicular tumor General Engineering orchiectomy Lipoma medicine.disease Left Testis paratesticular tumor Spermatic cord fibrous pseudotumor stomatognathic diseases medicine.anatomical_structure Leiomyoma hydrocele General Surgery Hydrocele Scrotum Pathology medicine Neurofibroma Radiology business |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.1565 |
| Popis: | Tumors arising in the spermatic cord are very rare. The common benign tumors of the spermatic cord include adenomatoid tumor, lipoma, neurofibroma, and leiomyoma. We report a rare case of fibrous pseudotumor of the spermatic cord presenting clinically as a hydrocele. A 28-year-old male presented with the complaint of swelling in the left scrotum, which gradually progressed in size over four years. Clinically, the swelling was soft and fluctuant. The left testis was not separately made out and a diagnosis of left hydrocele was made. On scrotal exploration, a large 12 x 7 cm fleshy mass was seen in the left hemiscrotum with the left testis adherent to the upper pole of the mass. The mass was dissected out from the testis, and the histology showed features of fibrous pseudotumor of the spermatic cord. Fibrous pseudotumor of the spermatic cord is a very rare entity and can pose a diagnostic challenge. Preoperative scrotal ultrasound and intraoperative frozen section assessment can prevent unnecessary orchiectomies in young patients with paratesticular fibrous pseudotumors. |
| Databáze: | OpenAIRE |
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