Coelho Mogárrio Inês, Jalles Filipa, Knoblich Maria, Alves Rui
Pediatric Surgery, Hospital Dona Estefânia, Unidade Local de São José, Lisboa, PRT.
Pediatric Surgery, Hospital Central do Funchal, Funchal, PRT.
Cureus. 2024 Oct 14;16(10):e71453. doi: 10.7759/cureus.71453. eCollection 2024 Oct.
Paratesticular fibrous pseudotumors are rare benign tumors. This case reports paratesticular fibrous pseudotumors in a very young patient. A previously healthy 16-month-old boy was seen due to a growing scrotal mass. On clinical examination, there was a painless, multinodular scrotal mass. Tumor markers were normal, and a testicular ultrasound with Doppler revealed a solid, avascular, and hypoechoic mass (50x20 mm). The patient underwent excision of the scrotal mass and adjacent skin. The histological analysis revealed a paratesticular fibrous pseudotumor. Definitive treatment is surgical excision, and if there is any concern for malignancy, an extemporaneous examination should be done to confirm the diagnosis. The prognosis with fibrous pseudotumors is excellent.
睾丸旁纤维性假瘤是罕见的良性肿瘤。本病例报告了一名非常年轻患者的睾丸旁纤维性假瘤。一名此前健康的16个月大男孩因阴囊肿物增大前来就诊。临床检查发现阴囊有一无痛性、多结节肿物。肿瘤标志物正常,睾丸超声多普勒检查显示为实性、无血管且低回声肿物(50×20毫米)。患者接受了阴囊肿物及邻近皮肤切除术。组织学分析显示为睾丸旁纤维性假瘤。明确的治疗方法是手术切除,如果怀疑有恶性病变,应进行术中检查以确诊。纤维性假瘤的预后极佳。