Malignant mesothelioma of the tunica vaginalis: a rare case report and description of multimodal treatment

Can J Urol. 2016 Dec;23(6):8585-8589.

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.

Publication types

  • Case Reports

MeSH terms

  • Adventitia / pathology*
  • Antineoplastic Agents / administration & dosage*
  • Biopsy / methods
  • Combined Modality Therapy / methods
  • Humans
  • Lung Neoplasms* / complications
  • Lung Neoplasms* / diagnosis
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / surgery
  • Lymph Node Excision / methods*
  • Lymphatic Metastasis
  • Male
  • Mesothelioma* / complications
  • Mesothelioma* / diagnosis
  • Mesothelioma* / pathology
  • Mesothelioma* / surgery
  • Mesothelioma, Malignant
  • Middle Aged
  • Orchiectomy / methods*
  • Retroperitoneal Space
  • Robotic Surgical Procedures / methods*
  • Testicular Hydrocele* / diagnosis
  • Testicular Hydrocele* / etiology
  • Testicular Hydrocele* / surgery
  • Testicular Neoplasms* / complications
  • Testicular Neoplasms* / diagnosis
  • Testicular Neoplasms* / pathology
  • Testicular Neoplasms* / surgery
  • Treatment Outcome

Substances

  • Antineoplastic Agents