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Journal of Medical Case Reports

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Open Access 01-12-2024 | Mesothelioma | Case report

Testicular mesothelioma disguised as hydrocele: a case report

Authors: Tanya Nazar, Anupama Gopalakrishnabhaktan, Fatema Ali Asgar Tashrifwala, Aroma Sathish, Tirth Dave

Published in: Journal of Medical Case Reports | Issue 1/2024

Abstract

Background

Testicular tumors have many different manifestations. The majority of these cases are presented as an incidental finding during hydrocelectomy. Malignant mesotheliomas are uncommon tumours that can arise from the coelomic epithelium of the pleura, peritoneum, pericardium, and tunica vaginalis.

Case presentation

We present a 51-year-old South Asian (Indian) male patient with a rare case of mesothelioma, presenting with right hydrocele, to whom a right hydrocelectomy was performed. Any history of trauma or asbestos exposure was not present. Histopathological and immunohistochemistry reports revealed a malignant mesothelioma of tunica vaginalis. There was no invasion of the tumour to the epididymis and spermatic cord. Imaging studies showed no signs of metastasis. 1 month later, a high inguinal orchidectomy was performed. The patient underwent adjuvant chemotherapy thereafter and is still on follow-up.

Conclusion

Although hydrocele is common, detailed evaluation is mandatory to rule out certain rare tumours-testicular and paratesticular variants.

Dagur G, Gandhi J, Suh Y, et al. Classifying hydroceles of the pelvis and groin: an overview of etiology, secondary complications, evaluation, and management. Curr Urol. 2017;10(1):1–14. https://doi.org/10.1159/000447145.CrossRefPubMedPubMedCentral

Mezei G, Chang ET, Mowat FS, Moolgavkar SH. Epidemiology of mesothelioma of the pericardium and tunica vaginalis testis [published correction appears in Ann Epidemiol. 2018 Jan;28(1):63]. Ann Epidemiol. 2017;27(5):348-359.e11. https://doi.org/10.1016/j.annepidem.2017.04.001.CrossRefPubMed

Attanoos RL, Churg A, Galateau-Salle F, Gibbs AR, Roggli VL. Malignant mesothelioma and its non-asbestos causes. Arch Pathol Lab Med. 2018;142(6):753–60. https://doi.org/10.5858/arpa.2017-0365-RA.CrossRefPubMed

Akin Y, Bassorgun I, Basara I, Yucel S. Malignant mesothelioma of tunica vaginalis: an extremely rare case presenting without risk factors. Singapore Med J. 2015;56(3):e53–5. https://doi.org/10.11622/smedj.2015053.CrossRefPubMedPubMedCentral

Drevinskaite M, Patasius A, Kevlicius L, Mickys U, Smailyte G. Malignant mesothelioma of the tunica vaginalis testis: a rare case and review of literature. BMC Cancer. 2020;20(1):162. https://doi.org/10.1186/s12885-020-6648-3.CrossRefPubMedPubMedCentral

Marinaccio A, Consonni D, Mensi C, et al. Association between asbestos exposure and pericardial and tunica vaginalis testis malignant mesothelioma: a case-control study and epidemiological remarks. Scand J Work Environ Health. 2020;46(6):609–17. https://doi.org/10.5271/sjweh.3895.CrossRefPubMedPubMedCentral

Pichler R, Tulchiner G, Steinkohl F, et al. Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound. Eur J Med Res. 2018;23(1):3. https://doi.org/10.1186/s40001-018-0301-5.CrossRefPubMedPubMedCentral

Nazemi A, Nassiri N, Pearce S, Daneshmand S. Testicular mesothelioma: an analysis of epidemiology, patient outcomes, and prognostic factors. Urology. 2019;126:140–4.CrossRefPubMed

Chapel DB, Schulte JJ, Husain AN, Krausz T. Application of immunohistochemistry in diagnosis and management of malignant mesothelioma. Transl Lung Cancer Res. 2020;9(Suppl 1):S3–27. https://doi.org/10.21037/tlcr.2019.11.29.CrossRefPubMedPubMedCentral

10.

Zhang N, Fu N, Peng S, Luo X. Malignant mesothelioma of the tunica vaginalis testis: a case report and literature review. Mol Clin Oncol. 2017;7(6):1053–6. https://doi.org/10.3892/mco.2017.1450.CrossRefPubMedPubMedCentral

11.

Mohd Hashim MH, Fam XI, Khoo HC, Wan Ahmad Kammal WSE, Kamal H. The scrotal excision of paratesticular mesothelioma of the tunica vaginalis: a case report. Uro. 2022;2(4):277–83. https://doi.org/10.3390/uro2040031.CrossRef

Title: Testicular mesothelioma disguised as hydrocele: a case report
Authors: Tanya Nazar
Anupama Gopalakrishnabhaktan
Fatema Ali Asgar Tashrifwala
Aroma Sathish
Tirth Dave
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Mesothelioma
Testicular Tumor
Testicular Cancer
Pathology
Published in: Journal of Medical Case Reports / Issue 1/2024
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-024-04348-y

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Springer Medicine

Testicular mesothelioma disguised as hydrocele: a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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