Malignant Mesothelioma of the Spermatic Cord

Abstract

Primary tumors arising from the spermatic cord are very rare. Mesothelioma derives from the mesothelial cells lining the serous membrane, such as the pleura, peritoneum, and tunica vaginalis of testis. Paratesticular malignant mesothelioma (MM), which usually presents as a hydrocele or intrascrotal mass, accounts for 0.3% to 1.4% of MMs. MMs of the spermatic cord account for less than 10% of paratesticular MMs. We report a case of MM of the spermatic cord in a 65-year-old man who primarily presented to the hospital with a left inguinal mass. Following the diagnosis after surgery, he was found to have a contralateral right inguinal mass and died in 6 months. Despite their rare occurrence in the spermatic cord, MMs need to be suspected, especially in patients with a history of asbestos exposure.

Malignant mesothelioma of tunica vaginalis: an extremely rare case presenting without risk factors

“…Testicular mesothelioma, a testis-specific tumour, is an aggressive form of cancer, (1) developing from the mesothelium and covering the tunica vaginalis, epididymis, spermatic cord, or tunica albuginea. (2) Testicular mesothelioma can occur in male patients of varying age, but is most common in those aged between 55 and 75 years.…”

“…(1) It is regarded as a benign condition and can be easily treated surgically. However, acquired hydrocele is usually idiopathic and can be triggered by trauma, infectious disease, or in rare instances, a testicular tumour.…”

“…(1) Exposure to asbestos is a risk factor for mesothelioma, but the disease may also occur in the absence of any obvious risk factors. (2) Malignant mesothelioma is usually fatal.…”

Malignant mesothelioma of the tunica vaginalis testis: A case report and literature review

“…Primary testicular hydrocele is an abnormal collection of fluid in the scrotum, and its incidence rate in men aged >40 years of age is ~1% (1). However, acquired hydrocele is usually idiopathic and may be caused by epididymitis and trauma, or, in rare cases, a testicular tumor.…”

Testicular Mesothelioma

“…The testicular mesothelioma is one of the rare tumor from other types of mesotheliomas (less than 1%) [9,43,81,104]. In light of this are clear of the difficulties encountered by some clinicians, radiologists, pathologists and cytologists in differential diagnosis.…”