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Multiple Paratesticular Fibrous Pseudotumors in an Adult Patient: Case Report



Parizi MK1 ; Momeni SA2 ; Ameli G3
Authors
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Authors Affiliations
  1. 1. Department of Urology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Urology, Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Urology, Clinic Korneuburg, Korneuburg, Austria

Source: Acta Medica Iranica Published:2019

Abstract

Paratesticular fibrous pseudotumors (PFP) are relatively rare benign spindle cell tumors. These tumors usually are originated from testicularis tunics and grow into the epididymis and spermatic cord. PFP is a consequent of a reactive proliferation of inflammatory tissue. We report a case of PFP with simultaneous multiple tunica albuginea and tunica vaginalis lesions. A 33-year-old man presented with painless right scrotal lump, normal serum tumor markers, and one centimeter paratesticular mass in ultra-sonography that underwent testis-sparing surgery due to a benign microscopic appearance in frozen section evaluation. Testis sparing surgery can be considered as the preferred management because of the lack of obvious evidence of potential malignancy in this tumor. © 2019 Tehran University of Medical Sciences.