1/12. Myxoid leiomyoma of tunica vaginalis testis.Myxoid leiomyoma is an extremely rare tumor, presenting as a scrotal mass. We report a case of 60 years male, who presented with a painless scrotal mass and operated as secondary hydrocoele. This lesion should be differentiated from other myxoid tumors and tumors with myxoid degeneration.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |
2/12. Bizarre leiomyoma of the scrotum.Scrotal leiomyomas with atypical bizarre nuclei are rare, which might be misdiagnosed as malignant tumor. We describe a case of scrotal bizarre leiomyoma in a 65-yr-old man. The tumor was a 1 cm-sized, well circumscribed, oval mass arising from the tunica dartos muscle. Histologically, it was formed by whorling bundles of fusiform cells with occasional atypical, pleomorphic nuclei and pseudo-inclusions. mitosis was not found. Although morphologically atypical, scrotal bizarre leiomyomas take on a biologic behavior not different from that of conventional leiomyoma, they should be distinguished from leiomyosarcoma to avoid unnecessary treatment.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
3/12. Rapidly growing adenomatoid tumor extending into testicular parenchyma mimics testicular carcinoma.A 40-year-old man presented with a 1-month history of a large, painless, rapidly growing right scrotal mass. Examination, ultrasonography, and intraoperative inspection did not exclude an intratesticular tumor, and a radical orchiectomy was performed. histology was typical for adenomatoid tumor, but gross and microscopic inspection revealed bundles of tumor extending from the tunica albuginea into the testicular parenchyma. In this case the rapid growth, large size, and the inability to exclude an intratesticular origin directed suspicion toward a malignant neoplasm. In hindsight, the tumor's unique pattern of extension into the adjacent testicular parenchyma confounded the preoperative diagnosis.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
4/12. adult paratesticular myxofibrosarcoma: report of a rare entity and review of the literature.A case of 70 years old man with a slowly enlarging painful scrotal mass is herein reported. Computed tomography scan of the scrotum showed a homogenous and encapsulated mass, associated with the tunica albuginea. There was no evidence of any metastatic lesion(s). Orchidectomy was performed with high ligation of the spermatic cord. Histopathologic examination revealed a rare case of paratesticular myxofibrosarcoma. Complete surgical resection is the only curative treatment modality in the treatment of these low grade tumors. Adjuvant chemotherapy or radiotherapy are not recommended for paratesticular myxofibrosarcomas.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
5/12. Fibrous pseudotumor of the epididymis and tunica vaginalis.We present a case of fibrous pseudotumor of the epididymis and tunica vaginalis which is one of the rarest paratesticular tumors. Fibrous pseudotumor presents as a solid scrotal mass with normal serum markers. Pathological examination is the only reliable way to make the diagnosis with these tumors exhibiting characteristic macroscopic and microscopic features. It is important to recognize this entity since local excision is the treatment of choice and orchiectomy is unnecessary.- - - - - - - - - - ranking = 1.25keywords = tunica (Clic here for more details about this article) |
6/12. Pedunculated leiomyoma of scrotum.leiomyoma may originate at any anatomic location of smooth muscle in the genitourinary system. The kidney capsule is the most common site for the genitourinary leiomyomas. leiomyoma origination from the scrotum is rare. The previous reported cases presented as small, firm, nontender, slowly enlarging freely movable masses within the scrotum. We report a case of leiomyoma of the tunica dartos, a benign lesion arising from the wall of the left scrotum. It presented as a pedunculated lesion with a surface ulceration, which need to be differentiated from squamous carcinoma of the scrotum. It was treated with a simple surgical excision.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
7/12. Malignant mesothelioma of the tunica vaginalis testis.Malignant mesothelioma of the tunica vaginalis is an extremely rare tumor. Appropriate treatment consists of inquinal orchiectomy with close followup. Treatment of locally recurrent malignant mesothelioma of the tunica vaginalis has not been standardized. We recommend radical resection for the initial presentation of locally recurrent disease rather than saving surgical resection as salvage therapy after other treatment modalities have failed. We report case 37 of malignant mesothelioma of the tunica vaginalis and review the literature.- - - - - - - - - - ranking = 1.75keywords = tunica (Clic here for more details about this article) |
8/12. When to use the Chevassu maneuver during exploration of intrascrotal masses.As many as 50 per cent of explorations for intrascrotal masses result in orchiectomy for benign disease. The most common diagnoses are hydrocele, epididymitis and benign testicular tumors. Many of these diagnoses could be made before orchiectomy if the tunica vaginalis and, occasionally, the tunica albuginea were opened, and the lesion biopsied. However, violation of the testicular tunics traditionally has been considered taboo because of the dangers of tumor seeding. In 1906 Chevassu suggested inguinal exploration and occlusion of the testicular vessels before biopsy of suspicious lesions. We have added scrotal hypothermia, double ligation of the gubernaculum before its division and irrigation with distilled water to provide a procedure that adheres to the principles of good cancer surgery. Its use during inguinal explorations for suspicious intrascrotal masses in 5 patients led to a benign diagnosis and preservation of the testis in 3 instances without subsequent testicular atrophy. Its judicious use can decrease the incidence of orchiectomy for benign disease.- - - - - - - - - - ranking = 0.5keywords = tunica (Clic here for more details about this article) |
9/12. Paratesticular rhabdomyosarcoma in an adult.Embryonal rhabdomyosarcoma is a common tumor of children, rarely appearing in the scrotum from tunica vaginalis or paratesticular tissues. In adults it is rare and carries a particularly bad prognosis. A case of paratesticular rhabdomyosarcoma occurring in a seventy-three-year-old man who survived a total of five and one-half years from the time of his original operation, is presented.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
10/12. Massive primary lipoma of the scrotum.Most lipomas occurring in the scrotum originate and develop in the spermatic cord. In rare cases, however, lipomas originate in the fat cells of the subcutaneous tissues of the scrotal walls themselves. These primary lipomas of the scrotum vary in size. We describe a patient with a scrotal mass that, to our knowledge, is the largest scrotal lipoma originating in the tunica dartos reported in the English literature.- - - - - - - - - - ranking = 0.25keywords = tunica (Clic here for more details about this article) |
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