MALIGNANT MESOTHELIOMA OF THE TUNICA VAGINALIS TESTIS: A CASE REPORT
We report here a case of malignant mesothelioma of the tunica vaginalis testis. A 93-year-old man with no history of asbestos exposure complained of increase of right scrotum size with pain. Ultrasonography and magnetic resonance imaging revealed a right hydrocele testis. A cytologic examination of...
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Veröffentlicht in: | Nippon Hinyokika Gakkai zasshi 2016/01/15, Vol.107(1), pp.44-47 |
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creator | Kaneko, Masatomo Minamikawa, Tetsuhiro Taniguchi, Hidehumi Yamada, Yasuhiro Nakamura, Jun Okihara, Koji Nakauchi, Hiroo |
description | We report here a case of malignant mesothelioma of the tunica vaginalis testis. A 93-year-old man with no history of asbestos exposure complained of increase of right scrotum size with pain. Ultrasonography and magnetic resonance imaging revealed a right hydrocele testis. A cytologic examination of the hydrocele fluid demonstrated mesothelial cells but show less atypicality and lack of obvious malignant features (class IIIa). We performed right hydrocelectomy for hydrocele testis. The pathological diagnosis was epithelial type of malignant mesothelioma of the tunica vaginalis testis, therefore we performed radical orchidectomy with wide excision of hemi-scrotal wall. There is no evidence of recurrence after 6 months of follow up. Malignant mesothelioma of the tunica vaginalis is rare, and accurate preoperative diagnosis is difficult. When a rapid increasing hemorrhagic hydrocele testis or nodular masses of the tunica vaginalis was observed, malignant mesothelioma should be considered. Malignant mesothelioma is highly fatal disease. Even two stage operation, radical orchidectomy should be performed. |
doi_str_mv | 10.5980/jpnjurol.107.44 |
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A 93-year-old man with no history of asbestos exposure complained of increase of right scrotum size with pain. Ultrasonography and magnetic resonance imaging revealed a right hydrocele testis. A cytologic examination of the hydrocele fluid demonstrated mesothelial cells but show less atypicality and lack of obvious malignant features (class IIIa). We performed right hydrocelectomy for hydrocele testis. The pathological diagnosis was epithelial type of malignant mesothelioma of the tunica vaginalis testis, therefore we performed radical orchidectomy with wide excision of hemi-scrotal wall. There is no evidence of recurrence after 6 months of follow up. Malignant mesothelioma of the tunica vaginalis is rare, and accurate preoperative diagnosis is difficult. When a rapid increasing hemorrhagic hydrocele testis or nodular masses of the tunica vaginalis was observed, malignant mesothelioma should be considered. Malignant mesothelioma is highly fatal disease. Even two stage operation, radical orchidectomy should be performed.</description><identifier>ISSN: 0021-5287</identifier><identifier>EISSN: 1884-7110</identifier><identifier>DOI: 10.5980/jpnjurol.107.44</identifier><identifier>PMID: 28132991</identifier><language>jpn</language><publisher>Japan: THE JAPANESE UROLOGICAL ASSOCIATION</publisher><subject>Aged, 80 and over ; Cytodiagnosis ; Humans ; Hydrocele testis ; Lung Neoplasms - complications ; Lung Neoplasms - diagnosis ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Magnetic Resonance Imaging ; Male ; Malignant mesothelioma ; Mesothelioma - complications ; Mesothelioma - diagnosis ; Mesothelioma - pathology ; Mesothelioma - surgery ; Mesothelioma, Malignant ; Orchiectomy - methods ; Testicular Hydrocele - etiology ; Testicular Hydrocele - pathology ; Testicular Hydrocele - surgery ; Testicular Neoplasms - complications ; Testicular Neoplasms - diagnosis ; Testicular Neoplasms - pathology ; Testicular Neoplasms - surgery ; Tunica vaginalis testis ; Ultrasonography</subject><ispartof>The Japanese Journal of Urology, 2016/01/15, Vol.107(1), pp.44-47</ispartof><rights>2016 Japanese Urological Association</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28132991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaneko, Masatomo</creatorcontrib><creatorcontrib>Minamikawa, Tetsuhiro</creatorcontrib><creatorcontrib>Taniguchi, Hidehumi</creatorcontrib><creatorcontrib>Yamada, Yasuhiro</creatorcontrib><creatorcontrib>Nakamura, Jun</creatorcontrib><creatorcontrib>Okihara, Koji</creatorcontrib><creatorcontrib>Nakauchi, Hiroo</creatorcontrib><title>MALIGNANT MESOTHELIOMA OF THE TUNICA VAGINALIS TESTIS: A CASE REPORT</title><title>Nippon Hinyokika Gakkai zasshi</title><addtitle>Jpn. j. urol</addtitle><description>We report here a case of malignant mesothelioma of the tunica vaginalis testis. A 93-year-old man with no history of asbestos exposure complained of increase of right scrotum size with pain. Ultrasonography and magnetic resonance imaging revealed a right hydrocele testis. A cytologic examination of the hydrocele fluid demonstrated mesothelial cells but show less atypicality and lack of obvious malignant features (class IIIa). We performed right hydrocelectomy for hydrocele testis. The pathological diagnosis was epithelial type of malignant mesothelioma of the tunica vaginalis testis, therefore we performed radical orchidectomy with wide excision of hemi-scrotal wall. There is no evidence of recurrence after 6 months of follow up. Malignant mesothelioma of the tunica vaginalis is rare, and accurate preoperative diagnosis is difficult. When a rapid increasing hemorrhagic hydrocele testis or nodular masses of the tunica vaginalis was observed, malignant mesothelioma should be considered. Malignant mesothelioma is highly fatal disease. Even two stage operation, radical orchidectomy should be performed.</description><subject>Aged, 80 and over</subject><subject>Cytodiagnosis</subject><subject>Humans</subject><subject>Hydrocele testis</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Malignant mesothelioma</subject><subject>Mesothelioma - complications</subject><subject>Mesothelioma - diagnosis</subject><subject>Mesothelioma - pathology</subject><subject>Mesothelioma - surgery</subject><subject>Mesothelioma, Malignant</subject><subject>Orchiectomy - methods</subject><subject>Testicular Hydrocele - etiology</subject><subject>Testicular Hydrocele - pathology</subject><subject>Testicular Hydrocele - surgery</subject><subject>Testicular Neoplasms - complications</subject><subject>Testicular Neoplasms - diagnosis</subject><subject>Testicular Neoplasms - pathology</subject><subject>Testicular Neoplasms - surgery</subject><subject>Tunica vaginalis testis</subject><subject>Ultrasonography</subject><issn>0021-5287</issn><issn>1884-7110</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1Pg0AQhjdGY5vaszezRy_U_YLd9UaQtiQUTKFeN8t2UQj9EMrBfy_RtnOYmWSeeTPzAvCI0cyVAr3Ux33dt4dmhhGfMXYDxlgI5nCM0S0YI0Sw4xLBR2DadVWBKOaCCErvwYgITImUeAzeVn4cLRI_yeEqzNJ8GcZRuvJhOodDD_NNEgU-_PAXUTKAGczDLI-yV-jDwM9CuA7f03X-AO5K3XR2eq4TsJmHebB04nQxrMdOTQhnwzHSsCE8QqUkpRWMaS5Kzre8ZFvtmsIWzDOWlS7DmrhYusxyg4hnS8u4oRPw_K97bA_fve1Oald1xjaN3ttD3yksPCKppJ47oE9ntC92dquObbXT7Y-6fD4AwT9Qdyf9aa-Abk-Vaay6mKsGcxX-y4xdp-ZLt8ru6S8nRm3q</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kaneko, Masatomo</creator><creator>Minamikawa, Tetsuhiro</creator><creator>Taniguchi, Hidehumi</creator><creator>Yamada, Yasuhiro</creator><creator>Nakamura, Jun</creator><creator>Okihara, Koji</creator><creator>Nakauchi, Hiroo</creator><general>THE JAPANESE UROLOGICAL ASSOCIATION</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>MALIGNANT MESOTHELIOMA OF THE TUNICA VAGINALIS TESTIS: A CASE REPORT</title><author>Kaneko, Masatomo ; Minamikawa, Tetsuhiro ; Taniguchi, Hidehumi ; Yamada, Yasuhiro ; Nakamura, Jun ; Okihara, Koji ; Nakauchi, Hiroo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j2274-529c4444623992fe844a78f77d7f4da5cbeb46ce4f541a251954e7c026efe47c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2016</creationdate><topic>Aged, 80 and over</topic><topic>Cytodiagnosis</topic><topic>Humans</topic><topic>Hydrocele testis</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Malignant mesothelioma</topic><topic>Mesothelioma - complications</topic><topic>Mesothelioma - diagnosis</topic><topic>Mesothelioma - pathology</topic><topic>Mesothelioma - surgery</topic><topic>Mesothelioma, Malignant</topic><topic>Orchiectomy - methods</topic><topic>Testicular Hydrocele - etiology</topic><topic>Testicular Hydrocele - pathology</topic><topic>Testicular Hydrocele - surgery</topic><topic>Testicular Neoplasms - complications</topic><topic>Testicular Neoplasms - diagnosis</topic><topic>Testicular Neoplasms - pathology</topic><topic>Testicular Neoplasms - surgery</topic><topic>Tunica vaginalis testis</topic><topic>Ultrasonography</topic><toplevel>online_resources</toplevel><creatorcontrib>Kaneko, Masatomo</creatorcontrib><creatorcontrib>Minamikawa, Tetsuhiro</creatorcontrib><creatorcontrib>Taniguchi, Hidehumi</creatorcontrib><creatorcontrib>Yamada, Yasuhiro</creatorcontrib><creatorcontrib>Nakamura, Jun</creatorcontrib><creatorcontrib>Okihara, Koji</creatorcontrib><creatorcontrib>Nakauchi, Hiroo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Hinyokika Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaneko, Masatomo</au><au>Minamikawa, Tetsuhiro</au><au>Taniguchi, Hidehumi</au><au>Yamada, Yasuhiro</au><au>Nakamura, Jun</au><au>Okihara, Koji</au><au>Nakauchi, Hiroo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MALIGNANT MESOTHELIOMA OF THE TUNICA VAGINALIS TESTIS: A CASE REPORT</atitle><jtitle>Nippon Hinyokika Gakkai zasshi</jtitle><addtitle>Jpn. j. urol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>107</volume><issue>1</issue><spage>44</spage><epage>47</epage><pages>44-47</pages><issn>0021-5287</issn><eissn>1884-7110</eissn><abstract>We report here a case of malignant mesothelioma of the tunica vaginalis testis. A 93-year-old man with no history of asbestos exposure complained of increase of right scrotum size with pain. Ultrasonography and magnetic resonance imaging revealed a right hydrocele testis. A cytologic examination of the hydrocele fluid demonstrated mesothelial cells but show less atypicality and lack of obvious malignant features (class IIIa). We performed right hydrocelectomy for hydrocele testis. The pathological diagnosis was epithelial type of malignant mesothelioma of the tunica vaginalis testis, therefore we performed radical orchidectomy with wide excision of hemi-scrotal wall. There is no evidence of recurrence after 6 months of follow up. Malignant mesothelioma of the tunica vaginalis is rare, and accurate preoperative diagnosis is difficult. When a rapid increasing hemorrhagic hydrocele testis or nodular masses of the tunica vaginalis was observed, malignant mesothelioma should be considered. Malignant mesothelioma is highly fatal disease. Even two stage operation, radical orchidectomy should be performed.</abstract><cop>Japan</cop><pub>THE JAPANESE UROLOGICAL ASSOCIATION</pub><pmid>28132991</pmid><doi>10.5980/jpnjurol.107.44</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged, 80 and over Cytodiagnosis Humans Hydrocele testis Lung Neoplasms - complications Lung Neoplasms - diagnosis Lung Neoplasms - pathology Lung Neoplasms - surgery Magnetic Resonance Imaging Male Malignant mesothelioma Mesothelioma - complications Mesothelioma - diagnosis Mesothelioma - pathology Mesothelioma - surgery Mesothelioma, Malignant Orchiectomy - methods Testicular Hydrocele - etiology Testicular Hydrocele - pathology Testicular Hydrocele - surgery Testicular Neoplasms - complications Testicular Neoplasms - diagnosis Testicular Neoplasms - pathology Testicular Neoplasms - surgery Tunica vaginalis testis Ultrasonography |
title | MALIGNANT MESOTHELIOMA OF THE TUNICA VAGINALIS TESTIS: A CASE REPORT |
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