Presentation
A 40-year-old man presented with a scrotal mass that was diagnosed as spermatic cord paraganglioma with malignant histological features. [ncbi.nlm.nih.gov]
Entire Body System
- Inguinal Mass
We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia. [ncbi.nlm.nih.gov]
Urogenital
- Scrotal Mass
A 40-year-old man presented with a scrotal mass that was diagnosed as spermatic cord paraganglioma with malignant histological features. [ncbi.nlm.nih.gov]
- Testicular Mass
Pathology of the testicular mass was reviewed. [ncbi.nlm.nih.gov]
The most common clinical form of presentation was a painless testicular mass. The a-fetoprotein levels were high in 5 patients (yolk-sac tumors and embryonal carcinomas). [dialnet.unirioja.es]
- Swelling of the Scrotum
Heat relaxes the scrotum, making it easier to spot anything abnormal. The National Cancer Institute recommends following these steps every month: Stand in front of a mirror. Check for any swelling on the scrotum skin. [washington.edu]
- Urinary Retention
Based on the few reported cases, it may present with abdominal or flank pain, abdominal mass, fatigue, unexplained fever, and even acute urinary retention [ 5 Ghosh A, Dwivedi US, Kumar A. [benthamopen.com]
Workup
This report highlights the rare presentation and workup of an inguinal mass, importance of intraoperative decision making based on operative findings and the significance of postoperative pathology findings. [ncbi.nlm.nih.gov]
Treatment
A review of the literature about the role of adjuvant treatments is also discussed. A 59-year-old man presented a right testicular mass of about 4 × 3 cm in size. [ncbi.nlm.nih.gov]
There is no standard treatment protocol as there is no consensus on standardized surgical or adjuvant treatment. Treatment of choice is radical surgical excision (inguinal orchiectomy) [ 3 ]. [scitechnol.com]
Prognosis
Although the prognosis of patients with metastatic adenocarcinoma of the spermatic cord is typically poor, the prognosis of our patients was favorable after follow-up for 14 to 18 months. [ncbi.nlm.nih.gov]
prognosis compared with those with poor health Age of the individual: Older individuals generally have poorer prognosis than younger individuals Whether the tumor is occurring for the first time, or is a recurrent tumor. [dovemed.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
The etiology, differential diagnosis, and management alternatives are discussed. [ncbi.nlm.nih.gov]
Etiology Benign spermatic cord lipoma (most common paratesticular mass) 3 adenomatoid tumor (most common epididymal mass) 2,3 epididymal leiomyoma epidermoid inclusion cyst epididymal papillary cystadenoma (associated with von Hippel Lindau disease ) [radiopaedia.org]
State Published - Dec 1996 Externally published Yes Cite this Apa Standard Harvard Vancouver BIBTEX RIS Staiman, VR, O'Toole, KM, Rubin, MA & Lowe, FC 1996, ' Giant malignant fibrous histiocytoma of the testis/spermatic cord: Psychologic and possible etiologic [einstein.pure.elsevier.com]
Etiology Spermatic cord disease Malignant tumors can also damage the structure and function of tissues, organs, necrotic hemorrhage, and the patient may eventually die due to organ failure. [healthfrom.com]
Epidemiology
The literature search used the following terms: epidemiology, surgery, chemotherapy, radiotherapy, testis sparing surgery, spermatic cord sarcomas/ liposarcomas. [ncbi.nlm.nih.gov]
Conclusions Testicular and paratesticular tumors in prepubertal children show epidemiological, histological, therapeutical and evolutional characteristics well differentiated from postpubertal or adult subjects. [dialnet.unirioja.es]
Pathophysiology
Definition / general Malignant mesenchymal tumor with smooth muscle differentiation Pathophysiology Hypothesized to arise from cremasteric muscle, vas deferens or contractile cells of other structures such as tunica or blood vessels ( Urology 2002;60: [pathologyoutlines.com]
Prevention
Radical orchiectomy with high cord ligation is the treatment of choice to prevent local recurrence. [ncbi.nlm.nih.gov]
Prevention Prevention of spermatic cord cancer 1. [healthfrom.com]
The tumor arises in the spermatic cord as a mass The cause of formation of the tumor is unknown and currently, no known methods exist to prevent occurrence of the tumor Most small tumors are asymptomatic, though the larger ones may compress the surrounding [dovemed.com]
Subik MK, Gordetsky J, Yao JL et al (2012) Frozen section assesment in testicular and paratesticular lesions suspicious for malignancy: its role in preventing unnecessary orchiectomy. Hum Pathol 43:1514–1519 PubMed CrossRef Google Scholar 25. [doi.org]