Testicular hematocele mimicking a testicular tumor: a case report and review of literature

Shamsa, Ali; Kadkhodayan, Ana; Feizzadeh, Behzad; Rasulian, H

doi:10.1016/s0041-1345(02)02883-x

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…A hard, scrotal lump that may grow to astonishing size is caused by organised blood clots in the vaginal sac. (Shamsa et al, 2002) Chronic scrotal hematocele's slowly progressing nature, lack of discomfort, and morphological and radiological features make it difficult to distinguish the mass from testicular neoplasms. In most instances, the actual nature of the issue isn't known until the testis has been removed.…”

Section: Prof Dr R Kannanmentioning

confidence: 99%

A Case of Hemataocele Mimicking Testicular Malignancy

Venkatesh

Prabhakar

Kannan

2022

PIJR

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Hematoceles are usually associated with a history of scrotal trauma, are usually painful and rarely have an idiopathic origin. We describe the peculiar case of a hematocele mistaken for a testicular cancer. It is a case of 70-year-old male with no significant history of trauma with complaints of testicular swelling for 18 months presented to hospital. Ultrasound and High-dose contrast-enhanced computed tomography were unable to rule out malignancy hence proceeded with inguinal orchidectomy. MRI and ultrasound may help in diagnosis but final diagnosis is confirmed by histological analysis. Blood evacuation or orchidectomy include the management of this condition.

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Section: Prof Dr R Kannanmentioning

confidence: 99%

A Case of Hemataocele Mimicking Testicular Malignancy

Venkatesh

Prabhakar

Kannan

2022

PIJR

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“…Currently, the clinical diagnosis can be suspected with Doppler sonography [ 81 ], avoiding orchiectomy. Organized testicular hematocele and other hemorrhages in the tunica vaginalis are rarely confused with a neoplasia [ 89 ], but this can happen occasionally in long-standing cases because of fibrous thickening with cholesterol granuloma formation in the tunica vaginalis (Fig. 2 ) [ 61 ] Exceptionally, a true testicular neoplasia presents clinically with a hematocele [ 86 ].…”

Section: Macroscopic Mimickers (Pseudotumors) Of Testicular and Paratmentioning

confidence: 99%

Pseudoneoplastic lesions of the testis and paratesticular structures

et al. 2007

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Pseudotumors or tumor-like proliferations (nonneoplastic masses) and benign mimickers (non-neoplastic cellular proliferations) are rare in the testis and paratesticular structures. Clinically, these lesions (cysts, ectopic tissues, and vascular, inflammatory, or hyperplastic lesions) are of great interest for the reason that, because of the topography, they may be relevant as differential diagnoses. The purpose of this paper is to present an overview of the pseudoneoplasic entities arising in the testis and paratesticular structures; emphasis is placed on how the practicing pathologist may distinguish benign mimickers and pseudotumors from true neoplasia. These lesions can be classified as macroscopic or microscopic mimickers of neoplasia.

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