[Testicular mesothelioma. Report of a case].
Contribution of one case of malignant testicular mesothelioma. A highly malignant tumour the diagnosis and specific treatment of which is not clearly defined. The correct diagnosis should be based on a series of features not only clinical (quick re-accumulation of liquid in the inverted hydrocele) but also gross (multiple paratesticular nodes) and microscopic, supported by immunohistochemical techniques. The latter is based both in ruling an adenocarcinoma out (CEA-, LeuM1-, Vimentine- to tumoral cells), and in the reactivity of more specific antigens (CAM5.2(K-8)+ and Vimentine+ to stromal cells). The choice treatment is inguinal orchiectomy with adjuvant chemotherapy. No standard chemotherapeutical approaches have been defined.
Loizaga
A
A
Servicio de Urología, Hospital de Basurto, Bilbao.
Eguileor
J
J
Arceo
R
R
Ullate
V
V
Unda
M
M
Larrínaga
J R
JR
Flores
N
N
D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis*; D008875:Middle Aged; D013736:Testicular Neoplasms / Q000175:diagnosis*