Mrinakova B, Ondrus D, Kajo K, Kunderlik M, Tkacova M, Ondrusova M
1st Department of Oncology, Comenius University, St. Elisabeth Cancer Institute, Bratislava, Slovak Republic.
Klin Onkol. 2012;25(4):290-3.
Malignant mesothelioma is a neoplasm arising in serosal membranes in the body cavities. Usual presentation of the tumor is in the pleura, peritoneum and less frequently pericardium. Paratesticular mesothelioma is the rarest known form of malignant mesothelioma with only a limited number of reported cases.
A case of malignant epithelial mesothelioma of the tunica vaginalis testis was reported with presentation of hydrocele and multinodular intrascrotal masses in a 20-year old male. The patient underwent surgery for post-traumatic long-term hydrocele with perioperative discovery of multiple small exophytic structures. After histological findings of the malignant mesothelioma of tunica vaginalis testis, he underwent left-side orchiectomy, followed by inguinal and pelvic lymph node dissection. Clinical staging did not reveal distant metastases. Regular follow-up visits based on physical examinations and imaging studies are to date negative for recurrence.
Literature data were reviewed, and possible risk factors for the development of the neoplasm were analysed.
恶性间皮瘤是一种起源于体腔浆膜的肿瘤。该肿瘤通常出现在胸膜、腹膜，较少出现在心包。睾丸旁间皮瘤是已知最罕见的恶性间皮瘤形式，仅有数量有限的病例报道。
报告了一例20岁男性睾丸鞘膜恶性上皮性间皮瘤病例，表现为鞘膜积液和阴囊内多发结节状肿块。该患者因创伤后长期鞘膜积液接受手术，术中发现多个小的外生性结构。在睾丸鞘膜恶性间皮瘤的组织学检查结果出来后，他接受了左侧睾丸切除术，随后进行了腹股沟和盆腔淋巴结清扫。临床分期未发现远处转移。迄今为止，基于体格检查和影像学研究的定期随访未发现复发迹象。
回顾了文献数据，并分析了该肿瘤发生的可能危险因素。
