title: Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: a five-case experience.
abstract: BACKGROUND
  Fibrous pseudotumours of the testicular and paratesticular tissues are fibroinflammatory reactive lesions that can clinically mimic neoplasms. Very little is known about the role of frozen section analysis (FSA) for these lesions in terms of intraoperative surgical management.
  
  
  METHODS
  We recently experienced 5 patients with testicular/paratesticular fibrous pseudotumours in whom frozen sections were used to demonstrate its non-neoplastic nature prior to the decision for radical surgery.
  
  
  RESULTS
  In 2 cases, FSA resulted in testicular-sparing surgery. In contrast, the remaining 3 cases ultimately underwent radical orchiectomy, due to questionable viability of the testicle involved by inflammatory/infiltrative lesions and in 1 case a slight possibility of lymphoproliferative malignancy.
  
  
  CONCLUSIONS
  Urologists should be aware of this entity and its gross features, such as firm masses and diffuse fibrous proliferation encasing the testicle to help determine intraoperative management. In select cases, intraoperative FSA is helpful in obviating radical orchiectomy.
authors.affiliation: Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester, NY; Department of Urology, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gordetsky
authors.forename: Jennifer
authors.initials: J
authors.lastname: Findeis-Hosey
authors.forename: Erdal
authors.initials: E
authors.lastname: Erturk
authors.forename: Edward M
authors.initials: EM
authors.lastname: Messing
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Yao
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Miyamoto