title: A rare case of malignant hydrocele in a young patient.
abstract: Malignant mesotheliomas of the tunica vaginalis are extremely rare tumors, especially in young patients. We report a case of a 15-year old patient presenting with clinical signs of hydrocele. Preoperative ultrasound scanning revealed two papillary lesions. Initially, before mesothelioma was suspected, the patient was submitted to focal resection of the macroscopic lesions. Following diagnosis by histopathology, the patient was submitted to radical orchiectomy and hemiscrotectomy. The patient presents no signs of local or systemic recurrence at the time of writing. A review of the literature on the subject has been included.
authors.affiliation: Federal University of Ceará, Fortaleza, Brazil. rafael.urologia@yahoo.com.br
authors.forename: George Rafael Martins
authors.initials: GR
authors.lastname: de Lima
authors.forename: Vladmir Pinheiro
authors.initials: VP
authors.lastname: de Oliveira
authors.forename: Paulo Henrique de Moura
authors.initials: PH
authors.lastname: Reis
authors.forename: Fábio Gurgel do Amaral
authors.initials: FG
authors.lastname: Pinheiro
authors.forename: Marcos Venício Alves
authors.initials: MV
authors.lastname: Lima
authors.forename: Lúcio Flávio
authors.initials: LF
authors.lastname: Gonzaga-Silva
mesh_terms: D000293:Adolescent; D001706:Biopsy; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D009919:Orchiectomy; D006848:Testicular Hydrocele / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography