[Multicystic mesothelioma of the testicular tunica vaginalis].
OBJECTIVE
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.
Rosales Leal
José Luis
JL
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Avenida de las Fuerzas Armadas, no. 2, 18014 Granada, España.
Tallada Buñuel
Miguel
M
Espejo Maldonado
Eduardo
E
Cózar Olmo
José Manuel
JM
Vicente Prados
Francisco Javier
FJ
Martínez Morcillo
Antonio
A
Buitragosivianes
Soledad
S
Rodríguez Herrera
Francisco
F
Ortiz Gorráiz
Manuel
M
Zilbermman Morales
Sonia
S
Chamorro Santos
Clara
C
D000368:Aged; D006801:Humans; D008297:Male; D018261:Mesothelioma, Cystic / Q000175:diagnosis; D013736:Testicular Neoplasms / Q000175:diagnosis