Calcifying fibrous tumor of the tunica vaginalis is a rare fibrous proliferation, which can sometimes mimic a scrotal malignancy prompting surgical intervention. It has been recognized as a benign lesion, and no recurrence has been described after its resection. Its identification is essential to avoid overtreatment and unnecessary orchiectomy. We herein describe a rare case of calcifying fibrous tumor of the tunica vaginalis in a young patient and review the clinical features of inguinal and scrotal calcifying fibrous tumors to help clinical decisions and encourage a testis sparing surgery.
The final pathology was ypT3N2. There were 63 lymph nodes removed, of which 3 were positive. At 1.5 year follow up, this patient is sexually active with good satisfaction. She also has complete daytime and nighttime continence with 0 pad usage. Additionally, she has had no evidence of recurrence.CONCLUSIONS: Organ sparing radical cystectomy with the creation of an ileal neobladder is a feasible and well tolerated surgery which may allow females to remain sexually active with good satisfaction postoperatively.
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