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Fibrous pseudotumor of the scrotum

Dr Bruno Di Muzio ◈ and Dr Yuranga Weerakkody ◉ et al.

Fibrous pseudotumor of the scrotum is a relatively rare, non-neoplastic extratesticular non-epididymal lesion.

On this page:

Article:

Epidemiology
Pathology
Radiographic features
Differential diagnosis
See also
Related articles
References

Epidemiology

It affects any age. Although rare, it is considered the third most common extra testicular mass after a scrotal lipoma and an epididymal adenomatoid tumor.

Pathology

It is characterized by usually nodular, probably reactive proliferation of fibrous tissue and inflammatory cells. It occurs due to prior inflammation, infection, or trauma.

Location

It most often involves the tunica vaginalis.

Radiographic features

Ultrasound

Sonographic appearances can be widely variable. They are typically seen as one or more solid paratesticular or tunica nodules or masses with variable echogenicity.

MRI

T1: uniformly low signal intensity: due to the presence of fibrosis ⁴
T2: uniformly low signal intensity: due to the presence of fibrosis ⁴
T1 (C+) Gd: generally show slow but persistent enhancement, as is typical of fibrous tissue, although enhancement can be variable ⁴

Differential diagnosis

Clinically, it can mimic testicular malignancy.

See also

paratesticular lesions

References

Ultrasound - testicular and scrotal

ultrasound (introduction)
testicular and scrotal ultrasound
- unilateral testicular lesion
  - testicular torsion
  - orchitis
  - testicular rupture
  - germ cell tumors of the testis
    - testicular seminoma
    - non seminomatous germ cell tumors
      - mixed germ cell tumor
      - yolk sac tumor (endodermal sinus tumor)
      - embryonal cell carcinoma
      - choriocarcinoma
      - testicular teratoma
      - testicular epidermoid (teratoma with ectodermal elements only)
    - burned out testis tumor
  - sex cord / stromal tumors of the testis
  - testicular cyst
  - testicular lymphoma
- bilateral testicular lesion
- paratesticular lesions
- epididymis
- other

Article information

rID: 31916

System: Urogenital

Tag: cases, ultrasound, testicle

Synonyms or Alternate Spellings:

Fibrous pseudotumour of scrotum
Fibrous pseudotumor of the scrotum
Fibrous pseudotumor of scrotum
Nodular fibropseudotumour
Nodular fibropseudotumor
Scrotal mouse
Nodular periorhitis
Fibrous pseudotumour (scrotum)

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