title: Malignant mesothelioma of the tunica vaginalis: a rare case report and description of multimodal treatment.
abstract: Malignant mesothelioma is an uncommon neoplasm that develops from serous surfaces, and rarely from the tunica vaginalis. Although atypical in any location, paratesticular presentation is exceedingly infrequent as only 0.3% to 1.4% of mesothelioma cases arise from the tunica vaginalis. Fewer than 300 cases have been reported with very few descriptions of long term follow up and multimodal therapy. Here we describe a patient with 2 years of follow up for metastatic mesothelioma treated with orchiectomy, chemotherapy and robot-assisted laparoscopic retroperitoneal lymph node dissection.
authors.affiliation: Department of Urology, University of Iowa, Iowa City, Iowa, USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Andresen
authors.forename: Grant
authors.initials: G
authors.lastname: Henning
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Uhlman
authors.forename: Amit
authors.initials: A
authors.lastname: Gupta
mesh_terms: D063194:Adventitia / Q000473:pathology*; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D001706:Biopsy / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D008654:Mesothelioma / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D009919:Orchiectomy / Q000379:methods*; D012187:Retroperitoneal Space; D065287:Robotic Surgical Procedures / Q000379:methods*; D006848:Testicular Hydrocele / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents