Well-differentiated Papillary Mesothelioma of the Tunica Vaginalis

Tan WK 1 , Tan MY 2 , Tan HM 3 , Pathmanathan R 4 , Tan WP 5

Affiliations 

  • 1 Addenbrookes Hospital, University of Cambridge, Cambridge, United Kingdom
  • 2 Faculty of Medicine, University of Glasgow, Glasgow, Scotland, United Kingdom
  • 3 Ramsay Sime Darby Medical Center, Subang Jaya, Selangor, Malaysia; Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
  • 4 Ramsay Sime Darby Medical Center, Subang Jaya, Selangor, Malaysia
  • 5 Department of Urology, Rush University Medical Center, Chicago, Illinois. Electronic address: [email protected]
Urology, 2016 Apr;90:e7-8.
PMID: 26773348 DOI: 10.1016/j.urology.2015.12.046

Abstract

A 39-year-old man presented with painless scrotal swelling for 2 months. He denied any asbestos exposure but worked with wall and ceiling plaster. Physical exam revealed a large right scrotum which transilluminated. Scrotal ultrasonography revealed a large right hydrocele and a polypoidal mass along the anterior wall of the scrotum. Magnetic resonance imaging of the abdomen and computed tomography of the chest showed no metastases. He underwent a right inguinal scrotal exploration and wide excision of tunica vaginalis and a partial epididymectomy. Pathology revealed well-differentiated papillary mesothelioma of the tunica vaginalis. The patient had an uneventful recovery.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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