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Paratesticular Tumor-Like Acquired Lesions

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Book cover Clues in the Diagnosis of Non-tumoral Testicular Pathology

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Abstract

The range of paratesticular lesions that can mimic a tumor is very broad: meconium periorchitis, foreign body vaginalitis, scrotal calculi, cholesterol granuloma, vasitis nodosa, sperm granuloma, endometriosis, lipomembranous fat necrosis, pseudosarcomatous proliferation after testicular torsion, paratesticular cyst, fibrous pseudotumor, sclerosing lipogranuloma, and smooth muscle hamartomas, among others. In some cases the clinical history and the radiological findings suggest an etiology, e.g., in meconium periorchitis or scrotal calculi or in the case of vasitis nodosa or spermatic granuloma when there is a history of vasectomy. But most times, even in the above situations, the lesions start as tumor masses associated with the testis, the epididymis, or the spermatic cord, and a correct diagnosis can be reached only after their histological study. Although in most cases it is a classic pathology, there are two processes that deserve greater attention – pseudosarcomatous periorchitis secondary to torsion of the spermatic cord and the inclusion of fibrous pseudotumor in the growing list of IgG-related diseases.

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Authors and Affiliations

  1. Universidad Autónoma de Madrid (UAM), Department of Anatomy, Histology and Neuroscience, School of Medicine, Madrid, Spain

    Manuel Nistal

  2. School of Medicine, Universidad Autónoma de Madrid (UAM), University Hospital La Paz, Department of Pathology, Madrid, Spain

    Pilar González-Peramato

  3. University Hospital Clinico San Carlos, Department of Urology, Madrid, Spain

    Álvaro Serrano

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  1. Manuel Nistal
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Nistal, M., González-Peramato, P., Serrano, Á. (2017). Paratesticular Tumor-Like Acquired Lesions. In: Clues in the Diagnosis of Non-tumoral Testicular Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-49364-0_37

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