Fibroma of tunica albuginea

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

“…3,6 Age at appearance ranges from 4.5 to 75 years, with most lesions found in patients between 20 and 40 years of age. 1,3,6,7 Single or multiple firm, painless nodules may be identified on physical examination. 2,5,6 Most are 1 to 3 cm in diameter; however, lesions as large as 12 cm have been reported.…”

“…2,5,6 Most are 1 to 3 cm in diameter; however, lesions as large as 12 cm have been reported. 1,3,4,7 Approximately 30% of patients have a history of trauma or epididymoorchitis. 3,6 Associated hydrocele is found in 45% to 50% of cases.…”

Idiopathic Peritesticular Fibrosis Associated with Retroperitoneal Fibrosis

“…This pattern is similar to that of other reactive pro cesses affecting paratesticular structures and has been designated 'fi brous pseudotumor' by Mostofi and Price [1], When these reactive processes affect the testicular tunics, they appear either: (a) as a diffuse enlargement, which has been called 'proliferative chronic periorchitis' [5,6]; or (b) as single or multiple localized foci, which have been designated 'pseudotumor of the tes ticular tunics' [1,[7][8][9], 'fibrous pseudotumor' [9], 'fibroma of the tunica albuginea' [10], and 'nodular periorchitis' [11].…”

Benign Testicular Tumors: A Case for Testis Preservation?

“…Thirtyseven patients with such lesions have been described [Marlett and Clark, 1979]. Semicastration is recom mended when fibrotic plaques are painful [Strom, 1977], Plaque removal or biopsy with testicular preservation was performed in 7 cases [Marlett and Clark, 1979;Strom, 1977], If undifferentiated malignant tissue components are found in the definitive histological examination after tumor enucleation, semicastration must be performed. Despite this second operation, the scrotum is not tumorcontaminated.…”