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
Hauptverfasser: Kaneko, Masatomo, Minamikawa, Tetsuhiro, Taniguchi, Hidehumi, Yamada, Yasuhiro, Nakamura, Jun, Okihara, Koji, Nakauchi, Hiroo
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container_issue 1
container_start_page 44
container_title Nippon Hinyokika Gakkai zasshi
container_volume 107
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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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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