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Funny pumpkin carving designs. Paratesticular mesotheliomas are rare tumors with 223 cases described so far. When hydrocele is the presenting symptom these tumors are often clinically overlooked and the diagnosis is delayed. The age range of affected individuals is wide mostly.
We report a case of a malignant mesothelioma arising from the tunica vaginalis of the testis which was highly aggressive in its course. 45 51 mtvt is locally invasive in 40 of cases while 15 present as metastatic disease at diagnosis1 metastases occur via lymphaticsmost commonly to the inguinal and periaortic lymph nodes while the liver and lungs are frequently involved via. It is a highly aggressive tumour.
1department of pathology irccs casa sollievo della sofferenza hospital san giovanni rotondo italy. Most paratesticular mesotheliomas arise in the tunica vaginalis but primary tumors of the spermatic cord and. Malignant paratesticular mesothelioma autopsy and case reports 2014.
Request pdf paratesticular mesothelioma. The tumoral infiltration spread to testicular parenchyma rete testis epididymis tunica vaginalis and albuginea. Report of a case with comprehensive review of literature paratesticular mesotheliomas are rare tumors with 223 cases described so far.
The most common presenting symptom is either hydrocele of unknown origin or intrascrotal mass. The sole plausible causative factor so far ascertained in the pathogenesis of these tumors is asbestos which however is found in only around 30 to 40 of such cases. The morphological features figure 3 associated to the immunohistochemical panel table 1 were compatible with the diagnosis of biphasic epithelioid and sarcomatoid malignant paratesticular mesothelioma with desmoplasic areas.
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