Radovanovic Milan, Kojic Uros, Zubelic Aleksa, Jakulic Djordje, Filipovic Zoran
Clinic of Urology, University Clinical Centre of Serbia, Clinic of Urology, Belgrade, SRB.
Urology, University Hospital Medical Center Bezanijska Kosa, Belgrade, SRB.
Cureus. 2024 Apr 26;16(4):e59052. doi: 10.7759/cureus.59052. eCollection 2024 Apr.
Malignant mesothelioma of the tunica vaginalis testis (MMTVT) is a rare tumor of the testicular sheath. More than 50% of cases initially present as recurrent hydrocele, but there have also been documented cases with hematocele, inguinal hernia, or epididymitis. Due to the non-specific symptoms and signs of the disease, it is almost always diagnosed intra- or postoperatively. The lack of standardized therapy protocols, as well as the lack of evidence supporting systemic chemotherapy, have fueled arguments in favor of the necessity of retroperitoneal lymph node dissection (RPLND) in the treatment of the disease, especially in the case of lymph node metastasis. We present a case of MMTVT achieving prolonged remission after timely and extensive surgical treatment.
睾丸鞘膜恶性间皮瘤（MMTVT）是一种罕见的睾丸鞘膜肿瘤。超过50%的病例最初表现为复发性鞘膜积液，但也有文献记载的病例表现为血囊肿、腹股沟疝或附睾炎。由于该疾病的症状和体征不具有特异性，几乎总是在术中或术后才得以诊断。缺乏标准化的治疗方案，以及缺乏支持全身化疗的证据，引发了关于在该疾病治疗中进行腹膜后淋巴结清扫术（RPLND）必要性的争论，尤其是在发生淋巴结转移的情况下。我们报告一例MMTVT患者，在接受及时且广泛的手术治疗后实现了长期缓解。
