Open AccessRole of frozen section analysis of testicular/paratesticular fibrous pseudotumours: a five-case experience
Author(s) -
Jennifer Gordetsky,
Jennifer Findeis-Hosey,
Erdal Ertürk,
Edward M. Messing,
Jorge L. Yao,
Hiroshi Miyamoto
Publication year - 2013
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.668
Subject(s) - frozen section procedure , orchiectomy , medicine , malignancy , testicle , seminoma , pathology , surgery , anatomy , chemotherapy
Background: Fibrous pseudotumours of the testicular and paratesticulartissues are fibroinflammatory reactive lesions that canclinically mimic neoplasms. Very little is known about the role offrozen section analysis (FSA) for these lesions in terms of intraoperativesurgical management.Methods: We recently experienced 5 patients with testicular/paratesticularfibrous pseudotumours in whom frozen sections wereused to demonstrate its non-neoplastic nature prior to the decisionfor radical surgery.Results: In 2 cases, FSA resulted in testicular-sparing surgery. Incontrast, the remaining 3 cases ultimately underwent radical orchiectomy,due to questionable viability of the testicle involved byinflammatory/infiltrative lesions and in 1 case a slight possibilityof lymphoproliferative malignancy.Conclusion: Urologists should be aware of this entity and its grossfeatures, such as firm masses and diffuse fibrous proliferation encasingthe testicle to help determine intraoperative management. Inselect cases, intraoperative FSA is helpful in obviating radicalorchiectomy.