Diffuse fibrous pseudotumor of the testicular tunics associated with an inflamed hydrocele

Raja R. Seethala, A. Temel Tirkes, Susan Weinstein, John E. Tomaszewski, S. Bruce Malkowicz, Elizabeth M. Genega

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Fibrous pseudotumors of the testicular tunics and paratesticular soft tissue are uncommon lesions. They typically arise as painless scrotal masses that may be associated with a hydrocele or history of trauma or infection. Although these lesions are clinically worrisome for a malignant neoplasm, they are thought to be reactive in nature, since they are composed of dense fibrous tissue with interspersed bland fibroblasts and myofibroblasts and mixed inflammatory cells. Once excised, these lesions behave in a benign fashion. Typically, these masses are multinodular, but in rare cases they are diffuse, bandlike myofibroblastic proliferations that encase the testis and are termed fibromatous periorchitis. Herein, we describe a 57-year-old man with a diffuse fibrous pseudotumor/fibromatous periorchitis that encased the left testis and adnexa and arose in close apposition to an inflamed hydrocele.

Original languageEnglish (US)
Pages (from-to)742-744
Number of pages3
JournalArchives of Pathology and Laboratory Medicine
Volume127
Issue number6
StatePublished - Jun 1 2003
Externally publishedYes

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

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    Seethala, R. R., Tirkes, A. T., Weinstein, S., Tomaszewski, J. E., Malkowicz, S. B., & Genega, E. M. (2003). Diffuse fibrous pseudotumor of the testicular tunics associated with an inflamed hydrocele. Archives of Pathology and Laboratory Medicine, 127(6), 742-744.