Open AccessMalignant Mesothelioma of the Tunica Vaginalis Testis Report of a Case and Review of the Literature
Author(s) -
Kuwabara Hiroko,
Uda Hirotsugu,
Sakamoto Haruhiko,
Sato Akira
Publication year - 1991
Publication title -
acta patholigica japonica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
ISSN - 0001-6632
DOI - 10.1111/j.1440-1827.1991.tb01630.x
Subject(s) - hydrocele , tunica vaginalis , medicine , mesothelioma , autopsy , pathology , lymphatic system , metastasis , lymph , radiology , cancer
An autopsy case of malignant mesothelioma of the tunica vaginalis testis in a 60‐year‐old man is described. The tumor showed widespread metastasis via the lymphatics, leading to the patient's death five years after diagnosis. A review of 38 previously described cases is also presented. The most frequent presenting symptom was hydrocele. When a hydrocele in association with a paratesticular tumor is present, aspiration cytology should be performed first. In most of the cases with a fatal outcome, the tumors metastasized to the retroperitoneal lymph nodes. Once the diagnosis has been made, lymphangiography or CT scan should be done immediately.