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