Preoperative diagnosis of malignant mesothelioma of the tunica vaginalis using Doppler ultrasound.
Malignant mesothelioma (MM) of the tunica vaginalis is a rare aggressive tumor with a high predilection for metastatic spread. Because there is no preoperative diagnostic modality available, it has high recurrence and mortality rates, which emphasizes the importance of early preoperative diagnosis for proper and adequate treatment. We describe a case of MM of the tunica vaginalis in a 73-year-old man who presented with hydrocele and was preoperatively diagnosed with MM using Doppler in addition to scrotal ultrasound. He underwent early radical orchiectomy through an inguinal approach, resulting in improved survival.
Aggarwal
Piyush
P
James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. piyushaggarwal@yahoo.com
Sidana
Abhinav
A
Mustafa
Sadaf
S
Rodriguez
Ronald
R
D000368:Aged; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging*; D011300:Preoperative Care; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging*; D018608:Ultrasonography, Doppler