Fibrous Pseudotumor of Paratestis Mimicking a Testicular Tumor

Singh, Jangbhadur; Hafiz, Ather; Rasool, Mohsin; Singh, Harbinder; Sharma, Shaveeta; Bashir, Shazia

doi:10.2174/1874375701408010001

Cited by 3 publications

(9 citation statements)

References 8 publications

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“…Diagnosis of the fibrous pseudotumor is difficult preoperatively due to non-specific features [7] and may even be confused with testicular tumor or chronic testicular infarction. Macroscopically, these tumors present as ovoid nodules and occasionally encasing the testes as diffuse band-like fibrosis [5] as in the present case. Microscopically, a variety of histologic patterns may be seen.…”

Section: Discussionsupporting

confidence: 76%

“…This term is generally accepted, though multiple names, such as inflammatory pseudotumor, proliferative funiculitis, chronic proliferative periorchitis, fibrous mesothelioma, and reactive periorchitis, are also assigned to this tumor. In 1904, Balloch first described fibrous pseudotumor involving the paratestis [5]. Most reported cases have involved the tunica vaginalis; rarely is it associated with the tunica albuginea, epididymis, or spermatic cord.…”

Section: Discussionmentioning

confidence: 99%

“…Tunica vaginalis is most commonly affected (75%), followed by epididymis (10%) and the remainder involving the spermatic cord or the tunica albuginea. Rarely paratesticular fibrous pseudotumors are associated with testicular infarction, Schistosomiasis, retroperitoneal fibrosis, Gorlin syndrome and HIV particularly the inflammatory variant [5].…”

Section: Discussionmentioning

confidence: 99%

“…Paratesticular fibrous pseudotumors usually presents as unilateral painless mass mostly involving the left side [8] ranging in size from 0.5 to 8 cm [5]. The fibrous pseudotumors have non-specific appearances on ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, the term inflammatory myofibroblastic tumor has been generally accepted. The peak incidence is usually in the third decade of life but can occur at any age [5].…”

Section: Introductionmentioning

confidence: 99%

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Paratesticular Fibrous Pseudotumor

Singh¹,

Gupta²,

Singh³

2016

JCR

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Intrascrotal benign fibrous proliferations are uncommon and mostly arise from paratesticular region falling into the category of fibrous pseudotumor. Fibrous pseudotumor is characterized by nodular growth composed of probably reactive proliferation of fibroblasts and inflammatory cells. Although benign, this often clinically mimics intrascrotal malignancy and usually remains undiagnosed preoperatively. Here, we report a case of paratesticular fibrous pseudotumor arising from testicular tunica vaginalis, in a 40 year male presenting with huge right scrotal mass.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Currently, the term inflammatory myofibroblastic tumor has been generally accepted. The peak incidence is usually in the third decade of life but can occur at any age [5].…”

Section: Introductionmentioning

confidence: 99%

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Paratesticular Fibrous Pseudotumor

Singh¹,

Gupta²,

Singh³

2016

JCR

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Paratesticular fibrous pseudotumour in a 26-year-old Nigerian man: A case report

Egharevba

Omoseebi

Okunlola

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Benign fibroblastic proliferation located within the scrotum are uncommon. They are also identified as fibrous pseudotumour and usually arise from the paratesticular region. Their pathogenesis is unknown. These tumours are difficult to diagnose pre-operatively and resemble intra-scrotal malignancy. Case presentation We managed a 26-year-old Nigerian man with a five-year history of left sided hemiscrotal swelling. The mass was excised, and histology showed benign fibroblastic proliferation. Discussion Most paratesticular tumours are benign. Imaging studies that show the mass as separate from the testis, normal levels of tumour markers and clinical features not suggestive of malignancy make the case for organ-sparing mass excision, in the treatment of paratesticular fibrous pseudotumour, very strong. Conclusion Intra-scrotal benign fibrous proliferation is a challenge to diagnose pre-operatively but excision of this benign mass without an orchidectomy is practicable when pre-operative assessment suggests a benign disease.

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Benign testicular neoplasm in a human immunodeficiency virus-positive patient masquerading as testicular cancer

et al. 2017

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Inflammatory myofibroblastic tumor (IMT) is a rare, benign neoplasm comprising spindle myoepithelial cells in the background of inflammatory cells. It can involve multiple anatomic sites in the body but rarely involves the testis. We report a case of 52-year-old male patient with a history of human immunodeficiency virus who presented with a painless, testicular mass for 2 months. Despite being treated with prolonged antibiotics and nonsteroidal anti-inflammatory drugs, scrotal ultrasound demonstrated an increase in the size of the lesion. With a presumed diagnosis of testicular germ cell tumor, a right radical inguinal orchiectomy was performed. Microscopic and immunohistochemical features were consistent with testicular IMT, a benign neoplastic process.

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Fibrous Pseudotumor of Paratestis Mimicking a Testicular Tumor

Cited by 3 publications

References 8 publications

Paratesticular Fibrous Pseudotumor

Paratesticular Fibrous Pseudotumor

Paratesticular fibrous pseudotumour in a 26-year-old Nigerian man: A case report

Benign testicular neoplasm in a human immunodeficiency virus-positive patient masquerading as testicular cancer

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