Paratesticular fibrous pseudotumor is a rare benign tumor that originates from intrascrotal tissue, such as tunica vaginalis, epididymis, or spermatic cord. Five cases of fibrous pseudotumor in our hospital were reviewed retrospectively, and the clinical manifestations were analyzed. Three cases of unilateral nodules, comprising one case located in the tunica vaginalis and two cases located in the epididymis, underwent local excision of the unilateral nodule. Two cases of diffuse incrassation in the tunica vaginalis underwent right radical orchiectomy. Postoperative pathological examination showed that all were fibrous pseudotumors. An average follow-up of 26 months showed uneventful results without recurrence for all patients. Fibrous pseudotumor is not a neoplasm but a reactive fibrous inflammatory hyperplasia. Definitive diagnosis requires pathological examination. Radical orchiectomy should be avoided when possible, and local excision should be performed because of the lack of obvious evidence of potential malignancy.
. [J]. Frontiers of Medicine, 2014, 8(4): 484-488.
Zhicheng Zhang,Jun Yang,Mingchao Li,Wei Cai,Qingquan Liu,Tao Wang,Xiaolin Guo,Shaogang Wang,Jihong Liu,Zhangqun Ye. Paratesticular fibrous pseudotumor: a report of five cases and literature review. Front. Med., 2014, 8(4): 484-488.
One nodule (1.2 cm × 0.5 cm) on the cauda of the right epididymis
Local excision
40
2
38
1
One nodule (1.5 cm × 1.3 cm) on the caput of the left epididymis
Local excision
27
3
26
2
Multiple nodules (maximum,1.0 cm × 1.1 cm)on the left tunica vaginalis
Local excision
14
4
21
2
Diffuse incrassation of tunica vaginalis, testicular atrophy, and hydrocele (4.0 cm × 9.0 cm) with multiplecalcification
Radical orchiectomy
3
5
60
3
Diffuse incrassation of tunica vaginalis, testicular atrophy, and hydrocele (4.2 cm × 6.1 cm)
Radical orchiectomy
45
Tab.1
Fig.1
Fig.2
Fig.3
1
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