Fibrous pseudotumor of the scrotum

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

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

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

It most often involves the tunica vaginalis.

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

  • 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

Clinically, it can mimic testicular malignancy. 

Ultrasound - testicular and scrotal
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Article information

rID: 31916
System: Urogenital
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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