Multiple right sided testicular masses of recent onset. Non-tender
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Multiple small solid mass lesions arising in the tunica of the right testis. Underlying testis is normal. Contralateral testis is also normal without masses.
Paratesticular fibrosis is also known as nodular fibrous periorchitis, reactive periorchitis and fibrous pseudo-tumour. It is a condition that is considered reactive in which a history of epididymo-orchitis, trauma or inflamed hydrocele is often present. A subset belong to IgG4 related sclerosing disease, although the pertinent immuno stains in this case were negative.
- Hart PA, Moyer AM, Yi ES et-al. IgG4-related paratesticular pseudotumor in a patient with autoimmune pancreatitis and retroperitoneal fibrosis: an extrapancreatic manifestation of IgG4-related disease. Hum. Pathol. 2012;43 (11): 2084-7. doi:10.1016/j.humpath.2012.05.017 - Pubmed citation
- Gordetsky J, Findeis-Hosey J, Erturk E et-al. Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: a five-case experience. Can Urol Assoc J. 2011;5 (4): E47-51. doi:10.5489/cuaj.10144 - Free text at pubmed - Pubmed citation