Malignant mesothelioma of the tunica vaginalis testis: atypical sonographic appearance.

Malignant mesothelioma of the tunica vaginalis Testis: Unusual sonographic appearance

“…[9][10][11] In 2001, Wolanske described the color Doppler sonographic features of mesothelioma with decreased vascularity in the tumor compared with normal testicular parenchyma. 12 This is consistent with our case, in which color Doppler sonography did not reveal significant vascularity within the tumor.…”

Mésothéliome paratesticulaire malin : cas clinique et revue de la littérature

“…Seulement 10 % des patients sont âgés de moins de 25 ans Cet aspect échographique atypique a été signalé égale-ment par Wolanske 7 , qui a décrit un aspect échographique atypique d'une masse intratesticulaire au niveau du pôle supérieur du testicule droit, sans hydrocèle, et qui s'est révé-lée par la suite être un mésothéliome malin de la tunique vaginale, comme c'était le cas chez notre patient.…”

Para- and Intratesticular Aspects of Malignant Mesothelioma

“…At this point in time, analysis suggests a predilection for Caucasian males (however, without a survival disadvantage) and poorer prognosis for elderly patients and patients without locoregional control. The advent of color Doppler sonography will potentially increase the rate of correct preoperative diagnosis and allow for the appropriate primary surgical approach to be performed (Boyum & Wasserman, 2008;Wolanske & Nino-Murcia, 2001;Mak et al, 2004;Wang et al, 2005) (Figure 9). Surgical therapy remains the cornerstone of initial treatment with a need for further analysis and resources directed toward identifying appropriate adjuvant treatment regimens.…”

“…Recently, color Doppler sonography has emerged as a possible imaging modality for preoperative diagnosis. Initial studies (Mak et al, 2004;Wang et al, 2005;Wolanske & Nino-Murcia, 2001) documented an intratesticular mass that was hypovascular in comparison to surrounding testicular tissue, and 2 recent cases (Aggarwal et al, 2010;Boyum and Wasserman, 2008) report hypervascularity within a paratesticular nodule or stalk arising from the tunica vaginalis. Thus, discrepancies in color Doppler sonography, whether hypovascularity or hypervascularity of paratesticular nodules, may increase preoperative diagnosis of malignant mesotheliomas (Klaassen & Lehrhoff, 2010).…”