EJMCR |

Case Report

Volume: 6 | Issue: 9 | Published: Dec 25, 2022 | Pages: 160 - 164 | DOI: 10.24911/ejmcr/173-1643731465

A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery

Authors: Luca Topazio , Federico Romantini , Daniela Biferi , Federico Narcisi , Francesco Chiaramonti , Pietro Morgia

Article Info

Authors

Luca Topazio

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy

ORCID

Federico Romantini

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy

Daniela Biferi

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy

Federico Narcisi

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy

Francesco Chiaramonti

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy

Pietro Morgia

Department of Urology, Mazzini hospital, Teramo, Asl Teramo, Italy.

Publication History

Received: April 14, 2022

Revised: November 22, 2022

Accepted: November 22, 2022

Published: December 25, 2022

Abstract

Background: Paratesticular fibrous pseudotumors are rare benignant intrascrotal lesions that can often mimic malignancy. They often arise in the scrotal tunic while less common localizations are the epididymis and the spermatic cord. Their diagnosis is challenging and often done post-operatively on definitive histopathology; for this reason, they are often treated with orchiectomy which results in overtreatment.

Case Presentation: We present a case of a 42-year-old male patient that came to our observation for scrotal swelling. Physical exam and ultrasound showed a healthy testis but multiple painless, tender, oval lesions at the level of the epididymis. Laboratory tests and testicular markers were within normal limits, thus we planned explorative surgery with frozen sections that excluded malignancy. We performed testis-sparing surgery with epididymectomy, vasectomy, and resection of the tunica vaginalis. Definitive histopathology revealed a fibrous pseudotumor. To date, at 3 months follow-up, the patient is in good clinical condition with no signs of recurrence and with healthy homolateral testis.

Conclusion: Fibrous pseudotumor can mimic malignancy. A correct diagnosis is pivotal to choosing the correct treatment and avoiding aggressive surgery.

Keywords: Benign testicular neoplasm, paratesticular fibrous pseudo-tumor, benign fibrous paratesticular tumor, testis-sparing treatment. inflammatory pseudotumor, green

Pubmed Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia. A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery. EJMCR. 2022; 25 (December 2022): 160-164. doi:10.24911/ejmcr/173-1643731465

Web Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia. A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery. https://ejmcr.com/articles/1106 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1643731465

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia. A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery. EJMCR. (2022), [cited December 25, 2024]; 25 (December 2022): 160-164. doi:10.24911/ejmcr/173-1643731465

Harvard Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia (2022) A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery. EJMCR, 25 (December 2022): 160-164. doi:10.24911/ejmcr/173-1643731465

Chicago Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia. "A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery." 25 (2022), 160-164. doi:10.24911/ejmcr/173-1643731465

MLA (The Modern Language Association) Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia. "A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery." 25.December 2022 (2022), 160-164. Print. doi:10.24911/ejmcr/173-1643731465

APA (American Psychological Association) Style

Luca Topazio, Federico Romantini, Daniela Biferi, Federico Narcisi, Francesco Chiaramonti, Pietro Morgia (2022) A rare case of fibrous pseudotumor of the epididymis treated with testis-sparing surgery. , 25 (December 2022), 160-164. doi:10.24911/ejmcr/173-1643731465