A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation

A paratesticular fibrous pseudotumor is a relatively rare benign disease. Preoperatively diagnosing a fibrous pseudotumor is challenging because distinguishing these masses from malignant tumors on the basis of clinical and radiological findings can be difficult. We present a case of a 28-year-old m...

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Main Authors: Hirotake Kodama, Shingo Hatakeyama, Teppei Matsumoto, Toshikazu Tanaka, Hirotaka Horiguchi, Yuka Kubota, Hayato Yamamoto, Atsushi Imai, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, Chikara Ohyama
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2018/6904827
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author Hirotake Kodama
Shingo Hatakeyama
Teppei Matsumoto
Toshikazu Tanaka
Hirotaka Horiguchi
Yuka Kubota
Hayato Yamamoto
Atsushi Imai
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Chikara Ohyama
author_facet Hirotake Kodama
Shingo Hatakeyama
Teppei Matsumoto
Toshikazu Tanaka
Hirotaka Horiguchi
Yuka Kubota
Hayato Yamamoto
Atsushi Imai
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Chikara Ohyama
author_sort Hirotake Kodama
collection DOAJ
description A paratesticular fibrous pseudotumor is a relatively rare benign disease. Preoperatively diagnosing a fibrous pseudotumor is challenging because distinguishing these masses from malignant tumors on the basis of clinical and radiological findings can be difficult. We present a case of a 28-year-old man who presented with a painless palpable mass in the right scrotum; the fibrous pseudotumor of the tunica vaginalis was treated with organ-sparing surgery. Computed tomography and magnetic resonance imaging revealed paratesticular tumors. Testicular tumor marker levels were within normal limits. We scheduled the patient to undergo tumor biopsy combined with intraoperative rapid diagnosis. Frozen section assessment suggested a fibrous pseudotumor without malignancy. We successfully performed organ-sparing surgery. Testicular-sparing surgery combined with frozen section assessment is primarily used for treating paratesticular fibrous pseudotumors.
format Article
id doaj-art-ec32f54c6b364ef382922270e2f9ce1d
institution Kabale University
issn 2090-696X
2090-6978
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-ec32f54c6b364ef382922270e2f9ce1d2025-02-03T05:54:01ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/69048276904827A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular PreservationHirotake Kodama0Shingo Hatakeyama1Teppei Matsumoto2Toshikazu Tanaka3Hirotaka Horiguchi4Yuka Kubota5Hayato Yamamoto6Atsushi Imai7Takahiro Yoneyama8Yasuhiro Hashimoto9Takuya Koie10Chikara Ohyama11Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanA paratesticular fibrous pseudotumor is a relatively rare benign disease. Preoperatively diagnosing a fibrous pseudotumor is challenging because distinguishing these masses from malignant tumors on the basis of clinical and radiological findings can be difficult. We present a case of a 28-year-old man who presented with a painless palpable mass in the right scrotum; the fibrous pseudotumor of the tunica vaginalis was treated with organ-sparing surgery. Computed tomography and magnetic resonance imaging revealed paratesticular tumors. Testicular tumor marker levels were within normal limits. We scheduled the patient to undergo tumor biopsy combined with intraoperative rapid diagnosis. Frozen section assessment suggested a fibrous pseudotumor without malignancy. We successfully performed organ-sparing surgery. Testicular-sparing surgery combined with frozen section assessment is primarily used for treating paratesticular fibrous pseudotumors.http://dx.doi.org/10.1155/2018/6904827
spellingShingle Hirotake Kodama
Shingo Hatakeyama
Teppei Matsumoto
Toshikazu Tanaka
Hirotaka Horiguchi
Yuka Kubota
Hayato Yamamoto
Atsushi Imai
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Chikara Ohyama
A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
Case Reports in Urology
title A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
title_full A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
title_fullStr A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
title_full_unstemmed A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
title_short A Case of Fibrous Pseudotumor in the Scrotum: Challenge for Diagnosis and Testicular Preservation
title_sort case of fibrous pseudotumor in the scrotum challenge for diagnosis and testicular preservation
url http://dx.doi.org/10.1155/2018/6904827
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