medigraphic.com
ISSN 1561-3046 (Electronic)

2014, Number 4

<< Back Next >>

Rev Cub Med Mil 2014; 43 (4)

Spermatic cord and scrotal tunica tumors

Rodríguez CTL

Language: Spanish
References: 54
Page: 481-498
PDF size: 271.85 Kb.


ABSTRACT

Among the paratesticular tumors, the spermatic cord and the scrotal tunica tumors are the most frequent and benign. This paper updated this topic, making emphasis in diagnosis and treatment issues. A literature search was made in books and in Hinari, PubMed/MEDLINE, LILACS databases and in Goggle in the period of 2009 through 2013.
The MeSH terms in English and Spanish were used: paratesticular tumors, intrascrotal tumors, spermatic cord tumors and scrotal tunica tumors. From the clinical viewpoint, it is fundamental to make the differential diagnosis with the inguinal hernia and hydrocele. The US testing is the imaging study of choice for initial assessment, although its lack of specificity makes specialists to resort to computer axial tomography and nuclear magnetic resonance to have more details of the case. For the purpose of reaching a precise diagnosis, the transoperative freezing biopsy through inguinotomy was recommended. The fine needle aspiration cytology is a reliable option to classify them if the case is suspected of benignancy preoperatively. It is possible to perform tumorectomy in the benign tumors, thus avoiding radical orchiectomy with upper ligature of the spermatic cord, which is the indicated approach to the malignant ones. Once the histological diagnosis and the staging are confirmed, the management should be oncological and urological in order to decide whether the adjuvant treatments are convenient or not. The malignant tumors recurred very frequently and sometimes in later phases, so these patients must be strictly followed-up for a long time.


REFERENCES

  1. Fernández F, García HA. Liposarcoma gigante desdiferenciado de cordón espermático. Arch Esp Urol [Internet]. 2009 [citado 14 Dec 2013];62(9):[aprox. 5 p.]. Disponible en: http://dx.doi.org/10.4321/S0004-06142009000900012

  2. Rodríguez Tardido A, Guzmán Martínez-Valls PL, Miñana López B. Patología intraescrotal benigna. En: Castiñeiras Fernández J. Libro del Residente de Urología. Asociación Española de Urología. Madrid: Gráficas Marte, SL; 2007. p. 915-26.

  3. Rodríguez D, Olumi AF. Management of spermatic cord tumors: a rare urologic malignancy. Ther Adv Urol [Internet]. 2012 Dec [cited 2013 Dec 11];4(6):[about 9 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491755/

  4. Román Birmingham PI, Navarro Sebastián FJ, García González J, Romero Barriuso G, Guijarro Espadas A. Tumores paratesticulares. Descripción de nuestra casuística general a lo largo de un período de 25 años. Arch Esp Urol [Internet]. 2012 [citado 14 Dec 2013];65(6):[aprox. 7 p.]. Disponible en: http://www.redalyc.org/articulo.oa?id=181025863011

  5. Tanagho EA. Anatomía del aparato genitourinario. En: Tanagho EA, McAninch JW, editores. Urología General de Smith. 13 ed. México D.F.: Manual Moderno; 2005. p. 11-2.

  6. Wroński K. Surgical treatment giant spermatic cord lipoma. Case report. New Medicine [Internet]. 2013 [cited 2013 Dec 11];17(2):[about 3 p.]. Available from: http://www.newmedicine.pl/shown.php?ktory=4447

  7. Vashu R, Subramaniam M. Large lipoma of the spermatic cord presenting as posoperative recurrent hernia in a middle aged gentleman: A case report. Cases Journal [Internet]. 2009 [cited 2013 Dec 11];2:[about 2 p.]. Available from: http://www.casesjournal.com/content/2/1/8500

  8. Pérez Rodríguez E, Gutiérrez Hernández PR, Álvarez Argüelles H, González Álvarez RJ, Fernández Ramos J, Vivancos Garbayo S, et al. Tumor lipomatoso atípico. A propósito de un caso. Rev Int Androl [Internet]. 2009 [citado 14 Dec 2013];7(2):[aprox.3 p.]. Disponible en: http://dialnet.unirioja.es/servlet/articulo?codigo=3127002

  9. Bremmer F, Kessel FJ, Behnes CL, Trojan L, Heinrich E. Leiomyoma of the tunica albuginea, a case report of a rare tumour of the testis and review of the literature. Diagnostic Pathologic [Internet]. 2012 [cited 2013 Dec 11];7:[about 1 p.]. Available from: http://www.diagnosticpathology.org/content/7/1/140

  10. Kullolli VS, Kullolli S, Pawar S, Gautam D. Leiomyoma of testis. A case report. Indian J Surg [Internet]. 2011 May-Jun [cited 2013 Dec 11];73(3):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087073/

  11. Tsaroucha AK, Papachristou F, Simopoulou MC, Pitakoudis MS, Sivridis E, Simopoulus CE. Leiomyomas of spermatic cord and testis presenting as hernia. Chromosomal analysis. Acta Chir Iugosl [Internet]. 2010 [cited 2013 Dec 11];57(2):[about 4 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20949702

  12. Pereira BJ, Meruje M, Azinhais P, Conceiçao P, Borges R, Leâo R, et al. Leiomioma paratesticular volumoso. Acta Urológica [Internet]. 2009 [cited 11 Dec 2013];2:[aprox.1 p.]. Disponible en: http://www.apurologia.pt/acta/2- 2009/c27.pdf

  13. Goel R, Agarwal A, Lomanto D. Large limphangioma presenting like irreducible inguinal hernia: A rare presentation and literature review. Ann Acad Med Singapore [Internet]. 2011 Nov [cited 2013 Dec 11];40(11):[about 2 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22206072

  14. Jamal YS, Abdel-Halim AR, Moshref SS, Kurdi MO, Sandugji HI. Cystic lymphangioma of spermatic cord: A case report and literature review. JKAU Med Sci [Internet]. 2009 [cited 2013 Dec 11];16(4):[about 8 p.]. Available from: http://www.kau.edu.sa/Files/320/Researches/57304_27535.pdf

  15. Kajal P, Rattan KN, Malik VS, Garsa V. Lymphangioma. A rare cause of swelling. APSP J Case Pep [Internet]. 2012 [cited 2013 Dec 13];4(5):[about 1 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3525287/

  16. Prada Arias M, Ortiz Rey JA, Fernandez Erie P, Montero Sanchez M, Lema Carril A, Segade Andrade R. Dermoid cyst of the spermatic cord in children. J Pediatr Surg [Internet]. 2010 Oct [cited 2013 Dec 13];45(10):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20920730

  17. Surriah MH, Muneer QAR. Dermoid cyst of the spermatic cord: A rare case of benign inguinal lump. Iraqi Postgrad Med J [Internet]. 2013 [cited 2013 Dec 14];12(2):[about 5 p.]. Available from: http://www.iasj.net/iasj?func=fulltext&aId=76528

  18. Skoniakov MS, Camacho Ramírez A, Soto Delgado M, Clavo Durán A, Sánchez Bernal C. Quiste dermoide del cordón espermático. Una masa paratesticular. Un caso y revisión de la literatura. Arch Esp Urol [Internet]. 2011 [citado 14 Dec 2013];64(10):[aprox 4 p.]. Disponible en: http://www.redalyc.org/articulo.oa?id=181022517014

  19. Richie JP, Steele GS. Tumors of testicular adnexa. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Craig CA, editors. Campbell-Walsh Urology. 9 th ed. [CDROM]. Philadelphia: Saunders Elsevier; 2007.

  20. Hernández Martínez SJ, Peña Ruelas CI, Hernández Bautista IG, Sánchez Arbea PC, Sánchez Venegas JC. Rabdomiosarcoma embrionario paratesticular. A propósito de un caso. Acta Pediatr Mex [Internet]. 2011 [citado 14 Dic 2013];32(5):[aprox. 5 p.]. Disponible en: http://www.revistasmedicasmexicanas.com.mx/download/actapediatrica/Septiembr e-Octubre2011/Acta%205.10%20Rabdomiosarcoma.pdf

  21. Bouchikhi AA, Mellas S, Tazi MF, Lahlaidi K, Kharbach Y, Benhayoune K, et al. Embryonic paratesticular rhabdomyosarcoma: A case report. J Med Case Rep [Internet]. 2013 [cited 2013 Dec 14];7:[about 4 p.]. Available from: http://www.jmedicalcasereports.com/content/7/1/93

  22. Keskin S, Ekenel M, Basaran M, Kilicaslan I, Tunc M, Bavbek S. Clinicopathological characteristics and treatment outcomes of adult patients with paratesticular rhabdomyosarcoma (PRMS): A 10 year single centre experience. Can Urol Assoc J [Internet]. 2012 Feb [cited 2013 Dec 14];6(1):[about 4 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3289696/

  23. Caballero Mora FJ, Muñoz Calvo MT, García Ros M, Rodríguez de Alarcón J, Fernández Pérez ML, Casco F, et al. Tumores testiculares y paratesticulares en la infancia y adolescencia. An Pediatr Barc [Internet]. 2013 [citado 14 Dic 2013];78(1):[aprox. 8 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S169540331200272X

  24. Montgomery S, Bloom DA. The diagnosis and management of scrotal masses. Med Clin North Amer [Internet]. 2011 Jan [cited 2013 Dec 14];95(1):[about 9 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21095426

  25. Kishore B, Khare P, Gupta RJ, Gupta C, Khare V. A rare case of paratesticular pleomorfic rhabdomyosarcoma diagnosed by fine needle aspiration: A case report. Diagn Cytopathol [Internet]. 2010 Feb [cited 2013 Dec 14];38(2):[about 6 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19790247

  26. Ferrari A, Meazza C, Vajna de Pava M, Clerici CA, Casanova M. Rhabdomyosarcoma inadequately treated: The problem of referral. J Adolesc Young Adult Oncol [Internet]. 2011 Sep [cited 2013 Dec 14];1(3):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23610735

  27. Hazariwala R, Morris CG, Gilbert S, Algood C, Zlotecki RA. Radiotherapy for spermatic cord sarcoma. Am J Clin Oncol [Internet]. 2013 Aug [cited 2013 Dec 14];36(4):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22772428

  28. Celik O, Unlu G. A rare case: Paratesticular leiomyosarcoma. Asian J Androl [Internet]. 2013 [cited 2013 Dec 14];15:[about 2 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854056/

  29. Kyratzi I, Lolis E, Antypa E, Lianou MA, Exarhos D. Imaging features of a huge spermatic cord leiomiosarcoma: Review of the literature. World J Radiol [Internet]. 2011 Apr [cited 2013 Dec 14];3(4):[about 5 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3084435/

  30. Moloney J, Drumm J, Fanning DM. A rare case of paratesticular leiomiosarcoma. Clinics and Practice [Internet]. 2012 [cited 2013 Dec 14];2:[about 2 p.]. Available from: http://www.clinicsandpractice.org/index.php/cp/article/view/cp.2012.e29

  31. Marla TN, Hegde A, Hanumanthappa B, Marla N, Shetty SS. Rare paratesticular leiomiosarcoma: A case report. J Evolut Med Dent Scien [Internet]. 2013 Nov [cited 2013 Dec 14];44(2):[about 5 p.]. Available from: http://www.jemds.com/data_pdf/tejaswi%20marla.pdf

  32. Patil V, Verma A, Pattar RS, Nandar S. Paratesticular leiomyosarcoma. A case report. J Nepal Med Assoc [Internet]. 2013 [cited 2013 Dec 14];52(191):[about 3 p.]. Available from: http://www.jnma.com.np/jnma/index.php/jnma/article/view/2283

  33. Mafra RSCP, Alves PR, Neto JM, Mafra de Oliveira RSCP, Albeeti LR. Liposarcoma de cordão espermatico. Resisão de literatura e relato de caso. Rev Med Res [Internet]. 2012 Abr-Jun [cited 2013 Dec 14];4(2):[about 4 p.]. Available from: http://www.crmpr.org.br/publicacoes/cientificas/index.php/revista-domedico- residente/article/viewFile/252/242

  34. Alyousef H, Osman EM, Gomba MA. Paratesticular liposarcoma: A case report and review of the literature. Case Rep Urol [Internet]. 2013 [cited 2013 Dec 14];[about 3 p.]. Available from: http://www.hindawi.com/crim/urology/2013/806289/

  35. Faria Silva L, Fraga Corrêa L, Faria Pessoa A, de Oliveira Lamas D. Metastatic paratesticular liposarcoma: Case report and literature review. Applied Cancer Research [Internet]. 2010 [cited 2013 Dec 14];30(4):[about 3 p.]. Available from: http://www.appliedcr.org.br/detalhe_artigo.asp?id=196

  36. Christopher D, Unni K, Mertens F. Adipocytic tumors. In: WHO classification of tumors. Pathology and genetics: Tumors of soft tissues and bone. Lyon, France: IARC; 2002. p. 19-46.

  37. Vukmirović F, Zejnilović N, Ivović J. Liposarcoma of the paratesticular tissue and spermatic cord: A case report. Vojnosanit Pregl [Internet]. 2013 Jul [cited 2013 Dec 14];70(7):[about 4 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23984620

  38. Lee KY, Park SJ, Moon SK, Kim HC. Unilateral spermatic cord metastasis from gastric cancer: A case report. Iran J Radiol [Internet]. 2012 Nov [cited 2013 Dec 14];9(4):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569555/

  39. Valizadeh N, Oskuie AE, Tehranchi A. Spermatic cord metastasis as early manifestation of small bowel adenocarcinoma. Urol Ann [Internet]. 2013 Jan-Mar [cited 2013 Dec 14];5(1):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3643327/

  40. Tran M, Daly P, Tran T, Heathcote P. Renal cell carcinoma metastases to the spermatic cord: Review of the literature and case presentation. J Clin Urol [Internet]. 2013 Nov [cited 2013 Dec 14];6:[about 5 p.]. Available from: http://uro.sagepub.com/content/6/6/427.abstract?rss=1

  41. Ansari S, Miri-Aliabab G, Rakhshani N. Bilateral Wilms' tumor metastasis to right spermatic cord. Int J Hematol Oncol Stem Cell Res [Internet]. 2013 [cited 2013 Dec 14];7(4):[about 4 p.]. Available from: http://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/435.pdf

  42. Memon AA, Soomro Q. Diffuse fibrous pseudotumor of paratesticular tissue. J Surg Pakistan [Internet]. 2009 Apr-Jun [cited 2013 Dec 14];14(2):[about 3 p.]. Available from: http://www.jsp.org.pk/Issues/JSP%2014-2%20%20April%20- June%202009/Aijaz%20Ahmed%20Memon.pdf

  43. Miyamoto H, Montgomery EA, Epstein JI. Paratesticular fibrous pseudotumor: A morphologic and inmunohistochemical study of 13 cases. Am J Surg Pathol [Internet]. 2010 [cited 2013 Dec 14];34(4):[about 6 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20216379

  44. Gordetsky J, Findeis-Hosey J, Erturk E, Messing EM, Yao JL, Miyamoto H. Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: A five case experience. Can Urol Assoc J [Internet]. 2011 Aug [cited 2013 Dec 14];5(4):[about 5 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148395/

  45. Tarhan H, Divrik RT, Akarken I, Altok M, Zorlu F. Bening intrascrotal lesion: Fibrous pseudotumor of testis. Arch Ital Urol Androl [Internet]. 2011 Jun [cited 2013 Dec 14];83(2):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21826885

  46. Mutreja D, Murali M, Arya A. Pseudotumors of paratesticular region mimicking malignancy. Arch Int Surg [Internet]. 2013 [cited 2013 Dec 14];13 (3):[about 3 p.]. Available from: http://www. archintsurg.org/text.asp?2013/3/1/70/117142

  47. Rodríguez Collar TL, Valdés Estévez B, Nagua Valencia MA, Salinas Olivares MR. Pseudotumor fibroso calcificado del cordón espermático. Rev Cubana Cir [Internet]. 2009 Sep-Dic [citado 14 Dic 2013];48(4):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-74932009000400015&script=sci_arttext

  48. Bösmüller H, von Weyhern CH, Adam P, Alibegovic V, Mikuz G, Fend F. Paratesticular fibrous pseudotumor: An IgG4 related disorder? Virchows Arch [Internet]. 2011 Jan [cited 2013 Dec 14];458(1):[about 5 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20957491

  49. Dieckmann KP, Strauss WJ, Frey U, Nahler-Wildenhain M. Paratesticular fibrous pseudotumor in young males presenting with histological features of IgG4 related disease: Two case reports. J Med Case Rep [Internet]. 2013 Sep [cited 2013 Dec 14];7(1):[about 1 p.]. Available from: http://www.jmedicalcasereports.com/content/7/1/225

  50. Lee GE, Rha SE, Byun JY, Lee K, Kim SW. Paratesticular solitary fibrous tumor: A rare cause of a hipervascular extratesticular mass. J Ultrasound Med [Internet]. 2011 [cited 2013 Dec 14];30:[about 3 p.]. Available from: http://www.jultrasoundmed.org/content/30/2/279.full.pdf

  51. Ahmed S, Menon S, Desai S. Epithelioid malignant mesothelioma of tunica vaginalis with deciduoid features: An unusual malignancy clinically masquerading an inguinal hernia. Indian J Pathol Microbiol [Internet]. 2012 [cited 2013 Dec 14];55:[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22499310

  52. Meng X, Guzzo TJ, Bing Z. Malingnant mesotheliomas in spermatic cords: Reports of two cases and brief review of literature. Rare Tumors [Internet]. 2013 Feb [cited 2013 Dec 14];5(1):[about 5 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682456/

  53. Busto Martin L, Portela Pereira P, Sacristan Lista F, Busto Castañón L. Mesothelioma of the tunica vaginalis. Case report. Arch Esp Urol [Internet]. 2013 May [cited 2013 Dec 14];66(4):[about 5 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23676545

  54. Mrinakova B, Ondrus D, Kajo K, Kunderlik M, Tkacova M, Ondrusova M. Paratesticular mesothelioma in young age. Case report. Klin Onkol [Internet]. 2012 [cited 2013 Dec 14];25(4):[about 4 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22920171




2020     |     www.medigraphic.com