Malignant mesothelioma of the tunica vaginalis testis: A Rare Malignant Tumor without Asbestos Exposure

Abstract

: Malignant mesothelioma of the tunica vaginalis testis is an extremely rare and often a deadly tumor. Preoperative diagnosis is very difficult due to lack of specific clinical manifestations, mainly including hydrocele formation and painless inguinal mass. In this abstract we present a case of a young patient with hydrocele and dull pain of left testes, was planned for laparoscopic repair of left inguinal hernia, during which a mass attached to the scrotal cord was discovered. Dissection and release of the mass from the cord structure were done, and postoperative pathological examination revealed a malignant mesothelioma arising from the left tunica vaginalis testis. Case was then referred to oncology center where intraperitoneal hyperthermic chemotherapy with cytoreductive surgery were done.