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ISSN 1561-3046 (Electronic)

2016, Number 3

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Rev Cub Med Mil 2016; 45 (3)

Testicular fibroma

Darías MJL

Language: Spanish
References: 10
Page: 391-396
PDF size: 160.26 Kb.


ABSTRACT

Paratesticular fibroma is a benign proliferative process of uncertain origin, probably non-tumor reactive inflammatory. The aim of the study is to present a case of paratesticular fibroma, as well as the diagnostic and therapeutic sequence implemented. We present a 55 year old patient with a history of hypertension. This patient visits the Urology outpatient clinic because of an increase in volume of the right testicle, a year of evolution, which in the last three months had caused slight discomfort. No history of trauma or inflammation was recorded in the testicle. On the physical examination he presented, to the lower pole of the testis and tail of the right epididymis, a mass of irregular stony consistency, 3 to 4 cm in diameter, fixed and painless. The testicular ultrasound reported the presence of a complex image, towards the lower pole, heterogeneous hypo and hyperechoic calcified inside, which measured 33 x 18 x 34 mm for 11 cm3 volume, and with associated light hydrocele. The patient underwent right radical orchiectomy with no complications. The histopathological result was nodular and hyalinizing fibrous proliferation affecting the tunica albuginea, calcified fibroma of the right testicle. Postoperative evolution was satisfactory. Although the definitive diagnosis of paratesticular fibroma is histopathological, its clinical and ultrasound characteristics make it one of the differential diagnoses to be considered with malignant tumors of the testis.


REFERENCES

  1. López Aramburu MÁ, Viguri Díaz A, Peña Pérez P, Rosa Arias J, Saiz Camín M. Pseudotumor fibroso paratesticular. Arch Esp Urol [Internet]. 2008 [citado 22 sep 2016]; 61(8):932-6. Disponible en: http://scielo.isciii.es/scielo. php?script=sci_arttext&pid=S0004-06142008008800112&nrm=iso

  2. Sánchez Bernal C, Muñoz Arias G, Jiménez Romero ME, Navas Martínez C, Rodríguez-Rubio FI. Pseudotumor fibroso testicular: Aportación de un caso. Actas Urol Esp [Internet]. 2008 [citado 22 sep 2016];32(5):556- 8. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0- S021048060873883X.pdf?locale=es_ES

  3. Akan S, Yuksel OH, Ozbay N, Verit A. Testicular fibrous pseudotumour as a rare intrascrotal mass. Rev Int Androl [Internet]. 2015 [cited 2016 Sep 22];13(4):138- 41. Available from: http://dx.doi.org/10.1016/j.androl.2014.11.007

  4. Naresh Bharti J, Dey B, Mittal A, Arora P. A case of fibrous pseudotumor of the paratesticular region. World J Mens Health [Internet]. 2013 Dec [cited 2016 Sep 22]; 31(3):262-4. Available from: http://synapse.koreamed.org/DOIx. php?id=10.5534/wjmh.2013.31.3.262.

  5. Tegeltija D, Lovrenski A, Panjković M, Eri Ž, Klem I. Testicular (gonadal stromal) fibroma: case report. Arch Oncol [Internet]. 2012 [cited 2016 Sep 28];20(1/2):26- 7. Available from: http://www.doiserbia.nb.rs/img/doi/0354-7310/2012/0354- 73101202026T.pdf

  6. Datta S, Dey S, Mukherjee S, Chandra Paul P, Bhattacharyya A, Biswas S, et al. Testicular fibroma of gonadal stromal origin with minor sex cord elements, presenting with hydrocele. Rare tumors [Internet]. 2013 [Cited 2016 sep 30]9;5(3):e34. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804809/

  7. Park SB, Lee WC, Kim JK, Choi SH, Kang BS, Moon KH, et al. Imaging features of benign solid testicular and paratesticular lesions. Eur Radiol [Internet]. 2011[cited 2016 Sep 28];21(10):2226-34. Available from: http://dx.doi.org/10.1007/s00330-011-2155-x

  8. Rodríguez Collar TL. Tumores del cordón espermático y las túnicas escrotales. Rev CubanMed Mil [Internet]. 2014 [citado 29 Sep 2016];43(4):481-98. Disponible en: http://search.ebscohost.com/login.aspx?direct= true&db=lth&AN=100939743&lang=es&site=ehost-live

  9. Zengin K, Sener NC, Alisir I. Magnetic Resonance Imaging of Paratesticular Inflammatory Pseudotumor: A Case Report. Clin Genitourin Canc [Internet]. 2013[Cited 2016 Sep 28];11(2):204-6. Available from: http://dx.doi.org/10.1016/j.clgc.2012.08.00

  10. Wisnu Tirtayasa PM, Birowo P, Satria Putranto A, Rasyid N. Fibrous pseudotumor of the tunica vaginalis associated with hydrocele and testicular atrophy. Urol Case Reports [Internet]. 2014 [cited 2016 Sep 28];2014(2):e134-6. Available from: http://dx.doi.org/10.1016/j.eucr.2014.05.004




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