Biphasic malignant mesothelioma of the testis: Case report
Journal Title: Cumhuriyet Medical Journal - Year 2017, Vol 39, Issue 1
Abstract
Malign Mesothelioma is a tumor originating from serous lining. Although it was most commonly seen in pleura, it can also located in other areas such as peritoneal and rarely paratesticular region. Our case presented with pain and swelling in the right scrotal region. Tumor markers were within normal limits (Alpha Fetoprotein (AFP), Beta Human Chorionic Gonadotropin (Beta-HCG) and alkaline phosphatas Ultrasonographic examination revealed that nodular masses which infiltrating tunica vaginalis. The largest diameter of the nodules was 5 cm. Radical orchiectomy was performed because of the tunica vaginalis invasion and tumor extensity. The patient was diagnosed as mesothelioma with morphological and immunohistochemical examination. Addition to classical epithelial component, accompanying sarcomatous component (%10) led us to give the biphasic mesothelioma diagnosis Mesothelium originated other lesions, adenocarcinoma of the rete testis, papillary serous neoplasm of testis and epididymis, metastatic adenocarcinomas and germ cell tumors of testis such as seminoma and embriyonal carcinoma should be considered in the differential diagnosis. The patients with widespread tumor nodules and having normal tumor markers mesothelial originated tumors should be taken into differantial diagnosis
Authors and Affiliations
Ganime Çoban, Nurcan Ünver, Huriye Şenay Kızıltan, Abdullah Armagan, Zühal Gücin
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