Relevance intraoperative diagnosis of fibrous pseudotumor para testicular: Challenge for sparing testis

Abstract

A paratesticular fibrous pseudotumor is a relatively rare benign disease. Preoperatively diagnosing a fibrous pseudotumor is challenging because distinguishing these masses from malignant tumors on the basis of clinical and radiological findings is difficult to see impossible. We present a case of a 34-year-old man who presented with a 2-year history of right testicular swelling and was advised right radical orchidectomy by another surgeon. Physical examination revealed a painless palpable solitary mass in the right scrotum; Testicular tumor markers were all negative, and ultrasound scan showed a relatively hypoechoic lesion closely associated with the right testis and suspicious for neoplastic process. The patient underwent a testicular sparing surgery. An intraoperative frozen section biopsy confirmed the lesion to be benign and this was reported on permanent section to be fibrous pseudotumor of the tunica albuginea. Testicular-sparing surgery combined with frozen section assessment is primarily used for treating paratesticular fibrous pseudotumors.