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Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 70-72

Pseudotumors of paratesticular region mimicking malignancy

1 Department of Pathology, 12 Air Force Hospital, Gorakhpur, Uttar Pradesh, India
2 Department of Surgery, 12 Air Force Hospital, Gorakhpur, Uttar Pradesh, India
3 Department of Radiology, 12 Air Force Hospital, Gorakhpur, Uttar Pradesh, India

Correspondence Address:
Deepti Mutreja
Department of Pathology, 12 Air Force Hospital, Air Force Station, Gorakhpur - 273 002, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.117142

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Fibrous proliferation of testicular tunica also known as fibrous pseudotumor of the testis are are uncommon lesions. These lesions are usually difficult to clinically differentiate from testicular tumors. We describe two cases of pseudotumors of the paratesticular region. The tumors in both cases simulated the appearance of a neoplastic process on gross examination. The first patient presented with a testicular mass while the second presented with acute scrotal abscess. A fibromatous pseudotumor completely encased the testes in both patients. In addition to fibrosis, ossification of the tunica led to "eggshell calcification" on imaging in the first case. Both tumors were successfully resected with an uneventful recovery. Histological examination revealed hypocellular dense collagen bundles with areas of coagulative necrosis with mononuclear inflammatory infiltrate. No evidence of cellular atypia or increased mitosis was seen. There was no tumor recurrence at 15 months follow-up. Fibrous pseudotumors should be considered in the clinical differential diagnosis of testicular and paratesticular masses.

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