Inflammatory myofibroblastic tumor of epididymis: a case report and review of literature.
BACKGROUND
Epididymal inflammatory myofibroblastic tumor, also known by various other synonyms is a rare benign disease. Only eight cases have been reported to date. The most common presentation is a scrotal mass of variable duration. For a scrotal mass it is difficult to distinguish a benign or malignant etiology, in addition to the origin whether from testis or epididymis. As a result the definitive diagnosis can only be established by surgical exploration.


METHODS
We report the ninth case of epididymal IMT who based on clinical and radiological findings underwent radical orchidectomy, with the histology suggestive of inflammatory myofibroblastic tumor. At 4 years follow up the patient is free of disease recurrence.


CONCLUSIONS
IMT though rare should be considered in the differential diagnosis of epididymal mass. Clinically it is often difficult to distinguish the origin of mass and even though the disease has benign nature and course it is crucial to counsel patients for orchidectomy as definitive diagnosis is established on surgical exploration.
Dangle
Pankaj P
PP
James Cancer Hospital, Ohio State University, Columbus, Ohio 43210, USA. Pankaj.Dangle@osumc.edu
Wang
Wenle Paul
WP
Pohar
Kamal S
KS
D000328:Adult; D004822:Epididymis / Q000473:pathology*; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006104:Granuloma, Plasma Cell / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008297:Male