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Malignant mesothelioma of the spermatic cord.

Park YJ, Kong HJ, Jang HC, Shin HS, Oh HK, Park JS - Korean J Urol (2011)

Bottom Line: Primary tumors arising from the spermatic cord are very rare.Mesothelioma derives from the mesothelial cells lining the serous membrane, such as the pleura, peritoneum, and tunica vaginalis of testis.Despite their rare occurrence in the spermatic cord, MMs need to be suspected, especially in patients with a history of asbestos exposure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Catholic University of Daegu, School of Medicine, Daegu, Korea.

ABSTRACT
Primary tumors arising from the spermatic cord are very rare. Mesothelioma derives from the mesothelial cells lining the serous membrane, such as the pleura, peritoneum, and tunica vaginalis of testis. Paratesticular malignant mesothelioma (MM), which usually presents as a hydrocele or intrascrotal mass, accounts for 0.3% to 1.4% of MMs. MMs of the spermatic cord account for less than 10% of paratesticular MMs. We report a case of MM of the spermatic cord in a 65-year-old man who primarily presented to the hospital with a left inguinal mass. Following the diagnosis after surgery, he was found to have a contralateral right inguinal mass and died in 6 months. Despite their rare occurrence in the spermatic cord, MMs need to be suspected, especially in patients with a history of asbestos exposure.

No MeSH data available.


Related in: MedlinePlus

Computed tomography scan showing a 3.2 cm lobulated mass in the left inguinal area (A) and a hydrocele in the left scrotum (B).
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Figure 1: Computed tomography scan showing a 3.2 cm lobulated mass in the left inguinal area (A) and a hydrocele in the left scrotum (B).

Mentions: On the physical examination, a 3×3 cm mass was palpated in his left inguinal area. The mass was hard, globular, smooth, and nontender, and the lower margins were not palpable below the inguinal ligament. A hard spermatic cord was palpated. The scrotum was normal except for a slightly enlarged, nontender left testis. The laboratory examinations showed a normal complete blood count and normal renal and liver functions. Alpha fetoprotein was 3.07 ng/ml (normal <20 ng/ml) and the beta human chorionic gonadotropin level was 1.20 mIU/ml (normal <5 mIU/ml). The results of a chest X-ray and following chest CT were normal. Ultrasound examination of the abdomen and scrotum showed a 3.0×3.3×1.8 cm nodal mass in the left inguinal area. The right testis was 3.0×2.2×4.9 cm in size, whereas the left testis was enlarged to 3.3×2.7×4.9 cm, contained a little hydrocele, and had normal echogenicity and vascularity. Computed tomography (CT) of the abdomen showed a left inguinal mass and bilateral small renal cysts but no abnormalities in other intraabdominal organs (Fig. 1).


Malignant mesothelioma of the spermatic cord.

Park YJ, Kong HJ, Jang HC, Shin HS, Oh HK, Park JS - Korean J Urol (2011)

Computed tomography scan showing a 3.2 cm lobulated mass in the left inguinal area (A) and a hydrocele in the left scrotum (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3065138&req=5

Figure 1: Computed tomography scan showing a 3.2 cm lobulated mass in the left inguinal area (A) and a hydrocele in the left scrotum (B).
Mentions: On the physical examination, a 3×3 cm mass was palpated in his left inguinal area. The mass was hard, globular, smooth, and nontender, and the lower margins were not palpable below the inguinal ligament. A hard spermatic cord was palpated. The scrotum was normal except for a slightly enlarged, nontender left testis. The laboratory examinations showed a normal complete blood count and normal renal and liver functions. Alpha fetoprotein was 3.07 ng/ml (normal <20 ng/ml) and the beta human chorionic gonadotropin level was 1.20 mIU/ml (normal <5 mIU/ml). The results of a chest X-ray and following chest CT were normal. Ultrasound examination of the abdomen and scrotum showed a 3.0×3.3×1.8 cm nodal mass in the left inguinal area. The right testis was 3.0×2.2×4.9 cm in size, whereas the left testis was enlarged to 3.3×2.7×4.9 cm, contained a little hydrocele, and had normal echogenicity and vascularity. Computed tomography (CT) of the abdomen showed a left inguinal mass and bilateral small renal cysts but no abnormalities in other intraabdominal organs (Fig. 1).

Bottom Line: Primary tumors arising from the spermatic cord are very rare.Mesothelioma derives from the mesothelial cells lining the serous membrane, such as the pleura, peritoneum, and tunica vaginalis of testis.Despite their rare occurrence in the spermatic cord, MMs need to be suspected, especially in patients with a history of asbestos exposure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Catholic University of Daegu, School of Medicine, Daegu, Korea.

ABSTRACT
Primary tumors arising from the spermatic cord are very rare. Mesothelioma derives from the mesothelial cells lining the serous membrane, such as the pleura, peritoneum, and tunica vaginalis of testis. Paratesticular malignant mesothelioma (MM), which usually presents as a hydrocele or intrascrotal mass, accounts for 0.3% to 1.4% of MMs. MMs of the spermatic cord account for less than 10% of paratesticular MMs. We report a case of MM of the spermatic cord in a 65-year-old man who primarily presented to the hospital with a left inguinal mass. Following the diagnosis after surgery, he was found to have a contralateral right inguinal mass and died in 6 months. Despite their rare occurrence in the spermatic cord, MMs need to be suspected, especially in patients with a history of asbestos exposure.

No MeSH data available.


Related in: MedlinePlus