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Paratesticular fibrous pseudotumour
Matthew Katz1, Ranjith Ramasamy, Brian D Robinson
1Department of Urology, Weill Cornell Medical College, New York, New York, USA.
BMJ Case Reports
|May 10, 2014
Summary
A scrotal nodule in a 38-year-old man was diagnosed as a paratesticular fibrous pseudotumour. Surgical excision was successful, with no recurrence observed after six months.
Area of Science:
- Urology
- Pathology
- Radiology
Background:
- Paratesticular fibrous pseudotumours are rare benign lesions.
- Differentiating these from malignant neoplasms is crucial for appropriate management.
Observation:
- A 38-year-old male presented with a two-year history of an enlarging right scrotal nodule.
- Ultrasound revealed two distinct soft tissue masses (1.7 cm and 0.8 cm) separate from the testicle.
- Surgical excision yielded firm, white, smooth, nodular tissue.
Findings:
- Histopathological examination confirmed fibrous pseudotumour with vascular and inflammatory components.
- The lesions were characterized by fibrous tissue, scattered capillaries, and inflammatory infiltrate.
Implications:
- Surgical excision is an effective treatment for scrotal fibrous pseudotumours.
- Regular follow-up imaging can confirm the absence of recurrence and disease progression.
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