Division of Urology, Department of Special Surgery, Al Bashir Hospital, Ministry of Health, Amman, Jordan.
Department of Surgery, King Hussein Cancer Center, Amman, Jordan.
Urology. 2023 Jun;176:171-174. doi: 10.1016/j.urology.2023.01.043. Epub 2023 Feb 9.
Paratesticular fibrous pseudotumor (PFPs) is an uncommon intra-scrotal mass that originated from tunica vaginalis and resulted in a reactive fibrous proliferation after a history of inflammation, infection, trauma, or hydrocele. We report here on a case of a 17-year-old man with a mass in the hemiscrotum that was found to be PFP in the orchidectomy specimen pathologic examination. The diagnosis of PFPs, before and during the operation, can be complicated despite it being a benign tumor. Radical orchidectomy is usually performed for these types of lesions. A frozen section intraoperatively is essential to avoid unnecessary radical orchidectomy and preserve testicle.
精索纤维假瘤（PFPs）是一种少见的位于精索鞘膜内的肿块，其起源于鞘膜，在炎症、感染、外伤或鞘膜积液后出现反应性纤维组织增生。我们在此报告 1 例 17 岁男性患者，其阴囊肿块，病理检查发现为精索鞘膜纤维假瘤。尽管 PFPs 是一种良性肿瘤，但在术前和术中的诊断可能较为复杂。此类病变通常采用根治性睾丸切除术。术中行冰冻切片检查对于避免不必要的根治性睾丸切除术和保留睾丸至关重要。
