Preoperative Diagnosis of Malignant Mesothelioma of the Tunica Vaginalis Using Doppler Ultrasound

Aggarwal, Piyush; Sidana, Abhinav; Mustafa, Sadaf; Rodríguez, Ronald

doi:10.1016/j.urology.2009.07.1275

Cited by 14 publications

(9 citation statements)

References 3 publications

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“…In addition to hydrocele being commonly presented, scrotal mesothelioma could be associated with an extratesticular mass with atypical sonographic features [36]. Color Doppler ultrasound might have the potential to be used to unveil the vascular characteristics of malignant mesothelioma [32,37]. However, either hypervascularity or hypovascularity in mass lesions has been described in articles, and thus color Doppler ultrasound could not be used as a definitive diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%

Malignant mesothelioma of the tunica vaginalis testis: a malignancy associated with recurrent epididymitis?

Yen¹,

Lee²,

Su³

et al. 2012

World J Surg Onc

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A 53-year-old Taiwanese male had several episodes of left epididymitis with hydrocele refractory to antibiotic treatment. Partial epididymectomy plus preventive vasectomy were planned, and, incidentally, an ill-defined nodule was found lying on the tunica vaginalis near the epididymal head. The pathological diagnosis was malignant mesothelioma of the tunica vaginalis testis. Radical orchiectomy with wide excision of the hemi-scrotal wall was performed. So far, there is no evidence of recurrence after more than 3 years of follow-up. Malignant tumor should be considered in the case of recurrent epididymitis refractory to empirically effective antibiotic treatment. Although the nature of this tumor is highly fatal, the malignancy can possibly be cured by early and aggressive surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Malignant mesothelioma of the tunica vaginalis testis: a malignancy associated with recurrent epididymitis?

Yen¹,

Lee²,

Su³

et al. 2012

World J Surg Onc

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“…Although a nonspecific presentation with no concrete age distribution is the norm, the advent of color Doppler sonography will potentially increase the rate of correct preoperative diagnosis and allow for the appropriate primary surgical approach (radical orchiectomy) to be performed [10][11][12][13][14]. Although a nonspecific presentation with no concrete age distribution is the norm, the advent of color Doppler sonography will potentially increase the rate of correct preoperative diagnosis and allow for the appropriate primary surgical approach (radical orchiectomy) to be performed [10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Initial studies [11][12][13] documented an intratesticular mass that was hypovascular in comparison to surrounding testicular tissue, and 2 recent cases [10,14] report hypervascularity within a paratesticular nodule or stalk arising from the tunica vaginalis. Initial studies [11][12][13] documented an intratesticular mass that was hypovascular in comparison to surrounding testicular tissue, and 2 recent cases [10,14] report hypervascularity within a paratesticular nodule or stalk arising from the tunica vaginalis.…”

Section: Diagnosismentioning

confidence: 99%

Malignant Mesothelioma of the Tunica Vaginalis Testis: A Rare, Enigmatic Tumor

Klaassen¹,

Lehrhoff²

2010

UIJ

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Malignant mesothelioma of the tunica vaginalis is a rare urologic tumor with fewer than 100 cases reported in the literature. Patients can present at any age with nonspecific symptoms. A typical sonographic appearance of paratesticular papillary excrescence or nodularity typically leads to a preoperative diagnosis of hydrocele or testicular tumor. Following diagnostic intraoperative frozen sample analysis, radical orchiectomy is recommended.Recent advances in Doppler sonography allow hypovascularity or hypervascularity of paratesticular nodules to be identified. These characteristics are suspicious for malignant mesothelioma, which potentially assists in preoperative diagnosis. The current case depicts a 37-year-old male with a 1-week history of subtle testicular enlargement. He was diagnosed with malignant mesothelioma of the tunica vaginalis following scrotal excisional biopsy. Literature is discussed relative to patient demographics, diagnostic and management issues, prognosis, and follow-up guidelines.

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“…162 The tumor can produce multiple nodules 154,163 and occasionally malignant mesothelioma of the peritoneum can spread to involve the tunica vaginalis and vice versa. The diagnosis may be helped by Doppler as well as scrotal ultrasound.…”

Section: Clinical Features and Prognosismentioning

confidence: 99%