title: Malignant fibrous histiocytoma of the epididymis. Case report and review of the literature.
abstract: A 54-year-old patient was found to have a painless ca. 1.5 cm diameter tumor in the region of the right epipidymis. The right testis was exposed from a scrotal incision. The final pathology surprisingly showed malignant fibrous histiocytoma (MFH) of the epipidymis and the patient subsequently underwent radical inguinal orchiectomy. Complete metastatic screening was normal. Postoperatively, 60 Gy external beam radiation was administered. At the least follow-up (6 years), there were no recurrences or metastases. MFH is an extremely rare, highly malignant connective tissue tumor, which may, occasionally, affect the male genital tract. There are no agreed treatment principles. The overall prognosis is poor.
authors.affiliation: Department of Urology, Krankenhaus Salem, Heidelberg University Teaching Hospital, Heidelberg, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Ikinger
authors.forename: M
authors.initials: M
authors.lastname: Westrich
authors.forename: W
authors.initials: W
authors.lastname: Bersch
authors.forename: K
authors.initials: K
authors.lastname: Böttinger
mesh_terms: D003131:Combined Modality Therapy; D004822:Epididymis / Q000473:pathology*; D005500:Follow-Up Studies; D018219:Histiocytoma, Benign Fibrous / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy / Q000379:methods; D011878:Radiotherapy / Q000379:methods; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome