Fibroma of the testicular tunics: an unusual extratesticular intrascrotal mass.

MRI of an Adenomatoid Tumor of the Tunica Albuginea

“…In our patient, the adenomatoid tumor itself showed less contrast enhancement than testicular parenchyma remote from the mass and contralateral normal testicular parenchyma. This finding conforms to the prediction of benignity of the mass based on the work of Watanabe et al However, the adenomatoid tumor did not show an absence of enhancement, in contradistinction to the report of Sadowski et al [7], which indicated no MRI enhancement of a fibroma of the tunica vaginalis.…”

Fibrous Pseudotumor of the Tunica Vaginalis Associated With Hydrocele and Testicular Atrophy

“…Clinically, the lesion signifies a malignant process and frequently presents as a painless palpable intrascrotal mass. 3 , 5 The present case patient had undergone intestinal hernia surgery before the development of tumor, which was detected as a right side painless palpable intrascrotal mass. Approximately, 40% to 50% of cases are associated with a hydrocele, as in the present case, and 30% are associated with trauma or epididymo-orchitis.…”

“…2 , 5 Although fibrous pseudotumors are uncommon, they are reported to be the second most common benign paratesticular lesions after adenomatoid tumors. 1 , 2 , 3 , 5 …”

“…2 The tumor is very rare, and to date, only handful of cases have been reported. 1 , 3 The tumor typically arises as painless scrotal masses that may be associated with hydrocele or history of surgery, trauma, or infection. 1 , 2 In most of the cases, the tumor involves the tunica vaginalis.…”

“…1 , 2 In most of the cases, the tumor involves the tunica vaginalis. 3 Clinically, the tumor indicates malignancy and necessitates radical orchiectomy. 4 We present here a case of fibrous pseudotumor of the tunica vaginalis associated with hydrocele and testicular atrophy.…”