Zusammenfassung
Maligne epitheloide Mesotheliome der Tunica vaginalis testis des Hodens sind sehr selten. Häufig sind sie eine Zufallsdiagnose bei histologischer Aufarbeitung des Hydrozelektomiepräparats. Aufgrund ihres aggressiven Wachstums und ihrer schlechten Prognose steht die radikalchirurgische Sanierung an erster Stelle. Wir berichten über einen 45-jährigen Patienten, bei dem das epitheloide Mesotheliom zufällig nach Hydrozelektomie entdeckt wurde.
Abstract
Malignant epithelioid mesothelioma of the tunica vaginalis of the testis is very rare. It is often diagnosed accidentally by histologic examination of the hydrocelectomy wall preparation. The aggressiveness and poor prognosis of this tumor require radical surgery as the primary therapy. We describe the case of a 45 year old patient, in whom an epithelioid mesothelioma was incidentally detected after hydrocelectomy.
Literatur
De Jalon A, Gil P, Azua-Romeo J et al. (2003) Malignant mesothelioma of the tunica vaginalis. Report of a case without risk factors and review of the literature. Int Urol Neph 35: 59–62
Gupta SC, Gupta AK, Misra V, Singh PA (1998) Pre-operative diagnosis of malignant mesothelioma of tunica vaginalis testis by hydrocele fluid cytology. Eur J Surg Oncol 24: 153–154
Hamm M, Rupp C, Röttger P, Rathert P (1999) Malignes Mesotheliom der Tunica vaginalis testis. Chirurg 70: 302–305
Hazarika M, White RM Jr, Booth BP et al. (2005) Pemetrexed in malignant pleural mesothelioma. Clin Cancer Res 11: 982–992
Iczkowski K, Katz G, Zander D, Clapp W (2002) Malignant mesothelioma of tunica vaginalis testis: a fatal case with liver metastasis. J Urol 167: 645–646
Ordonez NG (2005) Immunohistochemical diagnosis of epithelioid mesothelioma: an update. Arch Pathol Lab Med 129(11): 1407–1414
Plas E, Riedl C, Pflüger H (1998) Malignant mesothelioma of the tunica vaginalis testis. Review of the literature and assessment of prognostic parameters. Cancer 83(12): 2437–2446
Schure P, van Dalen K, Ruitenberg H, van Dalen T (2006) Mesothelioma of the tunica vaginalis testis: A rare malignancy mimicking more common inguino-scortal masses. J Surg Oncol 94: 162–164
Wang M, Mak C, Tzeng W, Chen J, Chang J, Lin C (2004) Malignant mesothelioma of the tunica vaginalis testis: unusual sonographic appearance. J Clin Ultrasound 33(8): 418–420
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Thomas, C., Hansen, T. & Thüroff, J. Malignes Mesotheliom der Tunica vaginalis testis. Urologe 46, 538–540 (2007). https://doi.org/10.1007/s00120-006-1251-z
Issue Date:
DOI: https://doi.org/10.1007/s00120-006-1251-z