Paratesticular fibrous pseudotumour: case report of a rare manifestation of IgG4-related disease

Autor: Jeena Raju Kudunthail, Nikhil Dhimole, Gurpreet Singh, Savitri Honakeri
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: African Journal of Urology, Vol 27, Iss 1, Pp 1-4 (2021)
Druh dokumentu: article
ISSN: 1110-5704
1961-9987
DOI: 10.1186/s12301-021-00220-3
Popis: Abstract Background Paratesticular fibrous pseudotumour is a rare benign growth with unclear pathogenesis and clinical management. It has been linked to Serum IgG4-related disease. This mass can notoriously masquerade around as a malignancy; however, a conservative (testis sparing) approach is sufficient as surgical management. Case presentation We present the case of a 35-year-old gentleman who presented with a slow growing paratesticular mass, raising the suspicion of a malignancy. However, normal tumour markers and benign appearance on imaging modalities compelled us to give trial of local excision with intra-operative frozen section analysis. After confirmation of benign pathology of the mass, the incision was closed. Final histopathology confirmed the diagnosis of benign paratesticular fibrous pseudotumour, and serum IgG levels were noted to be elevated. Conclusion Thus, using tumour markers, radiological imaging and intraoperative frozen section, a potential radical resection can be avoided, testis sparing surgery, employed.
Databáze: Directory of Open Access Journals
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