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  • Title: [Multicystic mesothelioma of the testicular tunica vaginalis].
    Author: Rosales Leal JL, Tallada Buñuel M, Espejo Maldonado E, Cózar Olmo JM, Vicente Prados FJ, Martínez Morcillo A, Buitragosivianes S, Rodríguez Herrera F, Ortiz Gorráiz M, Zilbermman Morales S, Chamorro Santos C.
    Journal: Arch Esp Urol; 2003 Dec; 56(10):1154-7. PubMed ID: 14763424.
    Abstract:
    OBJECTIVES: To report an exceptional case of multicystic mesothelioma of the testicular tunica vaginalis. METHODS: A 72-year-old male was referred for study of a scrotal mass. Physical examination, blood tests, and ultrasound were performed prior to surgical excision and pathologic study of the lesion. RESULTS: The ultrasound study showed a multilobar cystic lesion near the spermatic cord. Pathology reported multiple 3-4 mm cystic formations, with rudimentary papillae covered by a hyperchromatic epithelium and vimentin (+), CD 34 (+) immunophenotype. CONCLUSIONS: Multicystic mesothelioma is a rare form of mesothelioma, easy to recognize but infrequent. This tumor generally affects the peritoneal surface of the pelvis and abdomen; although other less frequent locations have been described testicular location is exceptional. We report the case of a patient presenting with a multicystic mesothelioma of the testicular tunica vaginalis and review the diagnosis, pathology and treatment options for this type of tumor.
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