title: Malignant mesothelioma of testicular tunica vaginalis.
abstract: We report here a case with malignant mesothelioma of testicular tunica vaginalis. An 81-year-old Japanese man with left hydrocele was referred for operation. When hydrocelectomy was performed, a thick wall of tunica vaginalis without malignancy was observed. Seven months after hydrocelectomy, a hard irregular mass was noticed in the left scrotum, therefore inguinal orchiectomy was performed. Pathologically, the mass showed severe atypia and mitosis. The diagnosis of malignant mesothelioma was made. He refused any adjuvant treatment and died 1 year later from multiple metastases to the paraaortic lymph nodes and lumbar supine.
authors.affiliation: Department of Urology, Jikei University School of Medicine, Tokyo, Japan. jk-uro@kd5.so-net.ne.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Abe
authors.forename: Nobuki
authors.initials: N
authors.lastname: Kato
authors.forename: Kenta
authors.initials: K
authors.lastname: Miki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nimura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Suzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kiyota
authors.forename: Shyoichi
authors.initials: S
authors.lastname: Onodera
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Oishi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D008159:Lumbar Vertebrae; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D009919:Orchiectomy; D013125:Spinal Neoplasms / Q000556:secondary*; D006848:Testicular Hydrocele / Q000150:complications / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery