Abstract
Paraganglioma at a paratesticular location is extremely rare. We report a 58-year-old Saudi male presented with two years history of right painless scrotal mass. On physical examination the scrotum revealed a right-sided non-tender mass not attached to right testis. Normal tumor markers of testicular tumor. Ultrasonography revealed a well-defined, homogeneous, hyperechoic lesion measuring approximately 2 cm in the right extratesticular region. Magnetic resonance imaging (MRI) with intravenous (IV) gadolinium contrast for abdominal and pelvis showed right extratesticular soft tissue mass not separable from the spermatic cord and there was no distant metastasis. The patient underwent exploratory excision of the mass with preservation of cord and testis. Histopathology showed paratesticular paraganglioma.
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