1/8. Malignant mesothelioma of tunica vaginalis testis associated with long-lasting hydrocele: could hydrocele be an etiological factor?A case of malign mesothelioma of tunica vaginalis testis in a 67 year old man with a 30 year history of hydrocele was reported. The diagnosis was made with an excisional biopsy performed in scrotal exploration and revealed epithelial type mesothelioma. High orchiectomy with hemiscrotectomy was performed. The patient had a local recurrence at the end of two years. As there were no distant metastasis only local excision was performed. In his sixth month after the second surgery he is still tumor free. Related literature reviewed.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |
2/8. Extensive palliative surgery for advanced mesothelioma of the tunica vaginalis.Malignant mesothelioma of the tunica vaginalis is a rare tumor managed principally by radical surgical resection. Chemotherapy and radiotherapy have limited efficacy. We report on a 67-year-old man with severe debilitation from multiple scrotal and inguinal recurrences of a malignant mesothelioma originating in the right tunica vaginalis. Local pain from extensive tumor spread prevented ambulation. Aggressive surgical debridement (total penectomy and scrotectomy) and perineal urethrostomy afforded the patient significant improvement in his quality of life before he finally died of the disease 3 years after diagnosis.- - - - - - - - - - ranking = 1.2keywords = tunica (Clic here for more details about this article) |
3/8. Malignant mesothelioma of the tunica vaginalis testis.Eighteen patients with malignant mesothelioma of the tunica vaginalis testis have been previously reported. These and the six patients reported here are reviewed for natural history and response to treatment. This tumor should be considered in men of any age with scrotal masses that include a hydrocele. Staging procedures should include computerized tomography scanning of the chest and abdomen. Inguinal orchiectomy appears to be the optimal primary surgical approach. Intraabdominal disease found at diagnostic laparotomy may be effectively treated by surgery and/or abdominal radiotherapy. Clinical features such as a long asymptomatic interval from initial presentation to clinical recurrence were observed and are also worthy of emphasis. Thus, serial follow-up is advised. Upon recurrence, treatment remains unsatisfactory but some responsiveness to chemotherapy has been noted. doxorubicin-containing regimens were administered to five patients with measurable pulmonary nodules resulting in two partial regressions by standard criteria.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |
4/8. 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 = 0.2keywords = tunica (Clic here for more details about this article) |
5/8. Fibrous pseudotumor of the scrotum.We report a case of a fibrous pseudotumor of the scrotum. This is a relatively rare tumor, which should be considered in the differential diagnosis of testicular and testicular tunica tumors. The latter type is benign and orchiectomy could be avoided.- - - - - - - - - - ranking = 0.2keywords = tunica (Clic here for more details about this article) |
6/8. Case report: malignant mesothelioma of the tunica vaginalis testis--an indolent course.Malignant mesothelioma of the tunica vaginalis testis is an extremely rare tumour. So far less than 50 cases have been reported in the literature. Radical inguinal orchiectomy appears to be the optimal treatment. Upon recurrence, treatment remains unsatisfactory. A further case is reported here, where the disease ran an indolent course despite several recurrences after initial treatment.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |
7/8. Treatment of mesothelioma of the tunica vaginalis testis.We report a rare case of malignant mesothelioma of the tunica vaginalis testis. A 67-year-old man was hospitalized with a complaint of swelling on the right side of the scrotal contents. Right high orchiectomy was performed, and the pathological examination revealed malignant mesothelioma of the tunica vaginalis testis. The surgery was thought to have been radical, but 4 months postoperation, local recurrence in the inguinal skin and distant metastasis in the para-aortic lymph node were found. The tumors were treated by surgical resection and radiation therapy. Two months after the second treatment, multiple lung metastasis and a second local recurrence in the inguinal skin were found. High-dose chemotherapy with cisplatin and doxorubicin was performed, but no change was confirmed after 4 weeks. The disease progressed, resulting in death within 8 months of diagnosis. The response of mesothelioma to chemotherapy is thought to be poor histologically as indicated by this case and previously reported cases, so initial radical surgery and adjuvant procedures soon after diagnosis are necessary to achieve cure.- - - - - - - - - - ranking = 1.2keywords = tunica (Clic here for more details about this article) |
8/8. Solitary leiomyomas arising from the tunica dartos scroti.Of 127 patients with primary neoplasms of the scrotal wall 10 had a solitary leiomyoma arising from the tunica dartos. These benign asymptomatic lesions occur in middle-age white men and are often incorrectly diagnosed. Simple surgical excision is curative. The 11th case is described because of the malignant course that followed irradiation. A cell arising from single smooth muscle cells within the corium is proposed as the cell of origin.- - - - - - - - - - ranking = 1keywords = tunica (Clic here for more details about this article) |