Left paratesticular mass mimicking polyorchidism: A case report

We report a rare case of primary scrotal lipoma in a 20-year-old patient which clinically mimics a left triorchidism. The patients presented with the left testicular swelling and the ultrasonography of the scrotum revealed an inhomogeneous hyperechoic mass with an inconclusive report. The left scrotal hemi exploration was planned, and intraoperatively, it was found to be a paratesticular mass with an equivalent size corresponding to the left testicle, separate from the left testicle. The histopathology confirms the lipomatous swelling. The post-operative period remains uneventful and the patient has been on follow-up for the past 1 year with no relapse

Leiomiossarcoma paratesticular: relato de caso e revisão de literatura / Paratesticular leiomysarcoma: a case of report and review of the literature

Introdução: O leiomiossarcoma é um tumor maligno de células mesenquimais. Este estudo tem como objetivo apresentar um caso clínico de sarcoma paratesticular subtipo leiomiossarcoma, tendo em vista sua escassez na literatura. Relato de caso: Paciente, 40 anos, sexo masculino, negro, hígido, iniciou quadro de dor em região de bolsa escrotal. Foi submetido à ultrassonografia que evidenciou tumor testicular à esquerda. Foi realizada abordagem cirúrgica. Considerações finais: O leiomiossarcoma é um tumor maligno com envolvimento de músculo liso. Devido à raridade do leiomiossarcoma paratesticular, não existe protocolo estabelecido na literatura. A importância da equipe multidisciplinar e especializada com acompanhamento longitudinal tem o intuito de instituir a terapia padrão-ouro e evitar recorrência.

Introduction: Leiomyosarcoma is a malignant tumor of mesenchymal cells. This study aims to present a clinical case of paratesticular sarcoma subtype leiomyosarcoma given its scarcity in the literature. Case report: The patient, 40 years old, male, black, healthy, started with pain in the scrotal region. He was submitted to ultrasonography which showed a testicular tumor on the left. A surgical approach was performed. Final consideration: Leiomyosarcoma is a malignant tumor with smooth muscle involvement. Due to the rarity of paratesticular leiomyosarcoma, there is no established protocol in the literature. The importance of a multidisciplinary and specialized team with longitudinal follow-up to establish the gold standard therapy and avoid recurrence.

Rabdomiosarcoma paratesticular izquierdo, tipo pleomórfico: Presentación de un caso

Se presenta el caso de un paciente con historia de fiebre no cuantificada y disnea de 1 semana de evolución, que posteriormente al realizarle la prueba de COVID-19, sale positivo. Refiere además presentar 2 meses de evolución de aumento del volumen testicular del lado izquierdo, sin ninguna otra sintomatología. En el ultrasonido testicular, se evidencia una masa que ocupa la mayor parte de la bolsa testicular izquierda, de eco textura heterogénea. La tomografía de tórax, abdomen y pelvis contrastada, se observa derrame pleural bilateral con múltiples adenopatías mediastinales, abdominales y pélvicas, así como múltiples metástasis a distancia.   (provisto por Infomedic International)

We present the case of a patient with a history of unquantified fever and dyspnea of 1 week of evolution, who subsequently tested positive for COVID-19. He also reports presenting 2 months of evolution of increased testicular volume on the left side, without any other symptomatology. In the testicular ultrasound, there is evidence of a mass that occupies most of the left testicular pouch, of heterogeneous echo texture. Contrast tomography of the chest, abdomen and pelvis showed bilateral pleural effusion with multiple mediastinal, abdominal and pelvic adenopathies, as well as multiple distant metastases. (provided by Infomedic International)

Epidydimal leiomyosarcoma: a rare case of scrotal swelling

Sarcomas of the genitourinary tract are extremely uncommon and accounts for only 1-2% of genito urinary malignancies. Sarcomas of the para testicular region, comprising tissues such as the epididymis, spermatic cord, inguinal canal and testicular tunica are also extremely rare. epidydimal leiomyosarcoma accounted only for 4 percentage of all para testicular tumours and only 16 cases are reported so far in literature and they account 4% of all Para testicular sarcomas. We are presenting a 61-year-old patient presented with a hard welling of 1 year duration, with no other associated symptoms. On ultrasound evaluation, it was reported as extra testicular lesion, possibly from epididymal tail. We performed a high inguinal orchidectomy. Histopathological examination revealed a para testicular leiomyosarcoma arising from epididymis. This case has discussed because of the rarity of the disease and possible cure if diagnosed early and treated aggressively.

Primary intratesticular rhabdomyosarcoma: a rare aggressive childhood neoplasm

Testicular tumors are relatively uncommon in children. The tumors of germ cell origin are still frequently encountered. The pure embryonal rhabdomyosarcomas of testis, not associated with sarcomatous component of the germ cell tumor, is a very rare entity. It is a highly aggressive tumor of childhood and young adolescents. In testes, it arises commonly from paratesticular tissue; primary intratesticular being extremely rare. To the best of authors knowledge, only fifteen cases of primary pure intratesticular tumor have been reported in the literature so far. We report a case of eight-year-old child who presented with a progressive painless right testicular enlargement over two months. Ultrasonography showed a heterogenous intratesticular mass. High orchidectomy was performed. Histopathological examination of the specimen assisted with immunohistochemistry revealed embryonal rhabdomyosarcoma.

Paratesticular well-differentiated liposarcoma initially diagnosed as fibrous pseudotumour

Paratesticular tumours are relatively rare and mostly of the mesenchymal origin. Due to its rarity, general surgical pathologists might have limited experience on the diagnostic entities and relevant differential diagnoses related to mesenchymal paratesticular tumours. This may likely cause diagnostic difficulties in a daily pathology practice. Paratesticular liposarcoma is a highly heterogeneous tumour and may be misdiagnosed as a benign fibromatous lesion. Herein we present a case of well-differentiated paratesticular liposarcoma of the sclerosing type initially diagnosed as a fibrous pseudotumour. Main differential diagnostic considerations are highlighted.

Epithelioid sarcoma of paratesticular region: A case report of an unusual case

Primary tumors of the paratesticular region are rare, with sarcomas constituting a major proportion, particularly in the old age. The paratesticular region consists of mesothelial, various epithelial, and mesenchymal cells and may therefore give rise to a variety of tumors. Epithelioid sarcoma usually occurs at the distal extremities of young adults. The proximal-type variant is characterized by a more aggressive course and resistance to treatment. We herein report a case of 32 years male with scrotal swelling diagnosed as proximal-type epithelioid sarcoma of paratesticular region after histopathological examination and immunohistochemistry. To the best of our knowledge, this is only the second case of proximal epithelioid sarcoma of paratesticular region in the English literature. As these tumors are rare, it has been difficult to establish their optimal treatment. Also, these can be easily misdiagnosed as other epithelioid lesions.

Liposarcoma paratesticular gigante / Giant Paratesticular Liposarcom

Introducción Los liposarcomas son lesiones que se originan en el tejido mesodérmico, su localización paratesticular es muy rara. Se divide en 4 subtipos histológicos, siendo el mixoide el más infrecuente. Tiene una recurrencia del 70%, Por lo que su tratamiento inicial debe ser agresivo. Objetivo resaltar su gran tamaño y que sea considerado como diagnóstico diferencial de masa inguinoescrotal. Presentación del caso Paciente masculino de 87 años con masa dolorosa inguinoescrotal derecha con diagnóstico de hernia inguinal unilateral, se realiza orquiectomía inguinal derecha. En patología se recibe pieza quirúrgica de 2440 g; al estudio histológico se observa lesión tumoral mesenquimal maligna, rodeado por estroma nodular mixoide prominente. Se diagnostica liposarcoma mixoide de cordón espermático. (Figura 2). Conclusiones Son neoplasias raras mal diagnosticadas como hernia inguinal, escrotal o lipoma de la médula espermática. Tiene un alto riesgo de metástasis, siendo la orquiectomía inguinal con resección del cordón espermático el manejo quirúrgico ideal.

Introduction Liposarcomas are lesions originated in the mesodermal tissue, paratesticular location is very rare. It is divided into 4 histological subtypes, being the most uncommon the myxoid. It has a recurrence of 70%, so the treatment should be aggressive. Objective to emphasize the large size and the differential diagnosis of inguinoescrotal mass. Case Presentation 87-year-old male patient with right inguinoescrotal pain with diagnosis of unilateral inguinal hernia, right inguinal orchiectomy is performed. A surgical specimen of 2440 g is received in pathology. Histological study shows malignant mesenchymal tumor lesion, surrounded by prominent myxoid nodular stroma. Myxoid liposarcoma of the spermatic cord is diagnosed. (Fig. 2). Conclusions they are rare neoplasms and are poorly diagnosed as inguinal hernia, scrotal or lipoma of the spermal cord. It has a high risk of metastasis, the ideal surgical management is an inguinal orchiectomy with resection of the spermatic cord.

Desmoplatic Small Round Cell Tumor Of Paratesticular Origin

Desmoplastic Small Round Cell Tumor (DSRCT) of the paratesticular region is an extremely rare mesenchymal tumor occurring in adolescence with a tendency for extensive metastases. We report a rare case of DSRCT of paratesticular origin in a 24 year old male who presented with painless right testicular mass and disseminated abdominal disease. The patient underwent right inguinal orchidectomy and on Histopathology and Immunohistochemistry the diagnosis was confirmed. The patient was treated with multi agent chemotherapy with partial remission. Prognosis of such patients is generally dismal despite multimodality treatment.

Metastatic papillary serous carcinoma of testis: A rare case

Papillary serous carcinomas of testis are very rare, and only case reports have been reported in the literature. These neoplasms are characterised histologically by papillary fronds and numerous psammoma bodies and exhibit immunoreactivity for markers of ovarian serous carcinomas. These are very aggressive and are both chemo and radioresistant with surgery remained the main stay of management.

Adenomatoid Tumor of Epididymis: A Rare Case Report

Adenomatoid tumors are rare benign neoplasms of the paratesticular region, most commonly occurring at the tail of the epididymis. We present a case of adenomatoid tumor in a 65 year old male, known case of prostatic adenocarcinoma, who presented in Urology OPD with painless swelling in testis. Bilateral orchidectomy was done with clinical suspicion of testicular carcinoma. On histopathology, diagnosis of adenomatoid tumor of epididymis was made. Due to its rarity, it is important for the physician and pathologist to be aware of this interesting entity in order to make a correct diagnosis.

Hemangioma Cavernoso Paratesticular da Túnica Vaginal: um Relato de Caso / Paratesticular Cavernous Hemangioma of the Tunica Vaginalis: A Case Report

Os hemangiomas são tumores benignos, e raramente podem se apresentar no tecido paratesticular. Sua fisiopatologia ainda é desconhecida, e são poucos os relatos de caso dessa doença, que atinge mais frequentemente pacientes jovens. Apesar de benigna, pode mimetizar tumores malignos do testículo, sendo na maioria das vezes indicada abordagem invasiva para o diagnóstico. Apresentamos o relato de caso de um paciente com nódulo testicular. No decorrer da investigação, suspeitou-se de neoplasia maligna, sendo realizada orquiectomia com posterior análise patológica e diagnóstico de hemangioma paratesticular da túnica vaginal

Hemangiomas are benign tumors, and can rarely occur in the paratesticular tissue. Its etiology is still unkown, and there are few case reports of this disease, which affects younger patients more often. Although benign, it can mimic malignant tumors of the testis, and an invasive approach to diagnosis is indicated. We present the case of a young patient who underwent to orchiectomy for a testicular nodule. Posterior pathological analysis presented as paratesticular hemangioma of the tunica vaginalis

Epididymal liposarcoma with metastases to the retroperitoneal space and peritoneal cavity: A case report and literature review / 中华男科学杂志

Objective@#To report a rare case of epididymal liposarcoma with multiple metastases to the retroperitoneal space and peritoneal cavity for the purpose of improving the diagnosis and treatment of the disease.@*METHODS@#We retrospectively analyzed the clinical data about a case of epididymal liposarcoma with multiple metastases to the retroperitoneal space and peritoneal cavity, reviewed relevant literature at home and abroad, and investigated the presentation, diagnosis and treatment of the disease.@*RESULTS@#A 47-year-old male patient with epididymal liposarcoma underwent radical left orchiectomy with high ligation of the spermmatic cord. Ten years later, recurrence and metastasis were observed in the retroperitoneal space with a mass of 15.6 × 9.4 × 25.5 cm occupying an area from the upper pole of the left kidney to the pelvic cavity and enclosing the left kidney and upper ureter, for which the patient received radical resection of the retroperitoneal tumor. However, multiple retroperitoneal and intraperitoneal metastases occurred again 4 years later, which was treated by another surgical resection. The patient died of lung failure a year later.@*CONCLUSIONS@#Epididymal liposarcoma is a rare entity, which can be diagnosed by careful clinical and radiological examinations and confirmed by pathology. For its treatment, radical inguinal orchiectomy should be performed as early as possible, but the roles of adjuvant radiotherapy and chemotherapy remain controversial. Given the high rate of recurrence and metastasis, long-term follow-up is necessitated for the patient postoperatively.

Fibroma testicular / Testicular fibroma

El fibroma paratesticular es un proceso proliferativo benigno de origen incierto, probablemente inflamatorio reactivo no tumoral. El objetivo del trabajo es presentar un caso de fibroma paratesticular, así como la secuencia diagnóstica y terapéutica adoptada. Se presenta un paciente de 55 años de edad con antecedentes de hipertensión arterial. Acude a la consulta externa de Urología por presentar aumento de volumen del testículo derecho, de un año de evolución, que en los últimos tres meses le había ocasionado molestias leves. Al interrogatorio no se recogieron antecedentes de traumatismos o inflamaciones en ese testículo. En el examen físico presentó, hacia el polo inferior del testículo y cola del epidídimo derechos, una masa de consistencia pétrea, irregular, de 3 a 4 cm de diámetro, fija e indolora. El ultrasonido testicular reportó la presencia de una imagen compleja, hacia polo inferior, heterogénea hipo e hiperecoica calcificada en su interior, que medía 33 x 18 x 34 mm para 11cm³ de volumen, y con ligero hidrocele asociado. El paciente fue sometido a orquiectomia radical derecha, proceder que transcurrió sin complicaciones. El resultado histopatológico fue proliferación fibrosa nodular e hialinizante que afecta la túnica albugínea, fibroma calcificado del testículo derecho. La evolución posoperatoria fue satisfactoria. Aunque el diagnóstico definitivo de fibroma paratesticular es histopatológico, sus características clínicas y ecográficas lo hacen ser uno de los diagnósticos diferenciales a tener en cuenta, con los tumores malignos del testículo(AU)

Paratesticular fibroma is a benign proliferative process of uncertain origin, probably non-tumor reactive inflammatory. The aim of the study is to present a case of paratesticular fibroma, as well as the diagnostic and therapeutic sequence implemented. We present a 55 year old patient with a history of hypertension. This patient visits the Urology outpatient clinic because of an increase in volume of the right testicle, a year of evolution, which in the last three months had caused slight discomfort. No history of trauma or inflammation was recorded in the testicle. On the physical examination he presented, to the lower pole of the testis and tail of the right epididymis, a mass of irregular stony consistency, 3 to 4 cm in diameter, fixed and painless. The testicular ultrasound reported the presence of a complex image, towards the lower pole, heterogeneous hypo and hyperechoic calcified inside, which measured 33 x 18 x 34 mm for 11 cm3 volume, and with associated light hydrocele. The patient underwent right radical orchiectomy with no complications. The histopathological result was nodular and hyalinizing fibrous proliferation affecting the tunica albuginea, calcified fibroma of the right testicle. Postoperative evolution was satisfactory. Although the definitive diagnosis of paratesticular fibroma is histopathological, its clinical and ultrasound characteristics make it one of the differential diagnoses to be considered with malignant tumors of the testis(AU)

Periorquitis meconial: A propósito de un caso / Meconium periorchitis: A case report

La periorquitis meconial es infrecuente. En el feto, está abierto el conducto peritoneo vaginal y, ante una perforación intestinal por cualquier causa (atresia intestinal, vólvulo, entre otras), se produce una peritonitis meconial. El contenido intestinal puede pasar hacia la cavidad vaginal escrotal. La peritonitis meconial puede resolverse espontáneamente y sin consecuencias. Restos calcificados de este evento pueden quedar en la cavidad peritoneal y/o en el escroto. En el recién nacido, se observará un hidrocele y una masa palpable intraescrotal, ecográficamente heterogénea y con calcificaciones. La periorquitis meconial o vaginalitis meconial se resuelve espontáneamente. Su desconocimiento podría llevar a cirugías innecesarias en el neonato. Se presenta el caso de un paciente de 33 días de vida con una masa escrotal, en quien se realizó una cirugía exploratoria. El diagnóstico anatomopatológico fue de periorquitis meconial.

Meconium periorchitis is uncommon. In the unborn child the peritoneum vaginal canal is open and, secondary to intestinal perforation due to any cause (intestinal atresia, volvulus, and others), meconium peritonitis occurs. The intestinal content reaches the scrotal vaginal cavity. Meconium peritonitis can heal spontaneously and without consequences. Calcified remnants of this event may remain in the peritoneal cavity and/or scrotum. In the newborn, a hydrocele and scrotal mass can be observed; the ultrasound will show a heterogeneous image with calcifications. Meconium periorchitis or meconium vaginalitis resolves spontaneously. The lack of awareness of this disease could lead to unnecessary surgery in the newborn. We present a 33 days old patient with a scrotal mass in whom surgery was performed with the pathological diagnosis of meconium periorchitis.

Rare para testicular lipoma: The largest one reported till date.

Lipomas within the scrotum are extremely rare and most of which develop from contents of the scrotum rather than the walls themselves. Intrascrotal lipoma can be classified as paratesticular and extratesticular lipoma. Here we describe a patient with a huge scrotal mass which, to our knowledge, is one of the largest paratesticular lipoma ever reported in the literature.

Tumor cístico paratesticular na infância / Paratesticular cystic tumor in childhood

Na oncologia pediátrica, os tumores de testículo são exemplos de neoplasias que apresentam padrão bimodal de incidência, com um pico em crianças de 2 a 4 anos e outro em adolescentes. Os tumores de testículo são raros e correspondem a 1-2% dos tumores sólidos pediátricos nos meninos. O objetivo do artigo é relatar um caso de tumor paratesticular benigno com apresentação e faixa etária atípicas e demonstrar a importância de seu conhecimento para o diagnóstico e tratamento adequados. As informações foram obtidas por meio de revisão do prontuário, entrevista com a mãe do paciente, registro fotográfico dos métodos e revisão da literatura. O paciente recebeu o diagnóstico de tumor cístico paratesticular, sendo submetido o tratamento definitivo através de exérese do material, sendo preservados ambos os testículos. O caso relatado se apresenta fora do pico epidemiológico e da apresentação clínica mais comum.

In pediatric oncology, testicular tumors are examples of cancers that have bimodal pattern of incidence, with a peak in children 2-4 years and another in adolescents. Testicular tumors are rare and account for 1-2% of pediatric solid tumors in boys. The main objective is to report a case of benign paratesticular tumor with atypical presentation and age and demonstrate the importance of their knowledge for diagnosis and treatment. Data were obtained through patient chart review, interview with the patient's mother, photographic record of the methods and literature review. The patient was diagnosed with paratesticular cystic tumor and underwent definitive treatment by removal of material, being preserved both testicles. The case report is presented outside the epidemiological peak and the most common clinical presentation.

Tumores del cordón espermático y las túnicas escrotales / Spermatic cord and scrotal tunica tumors

Entre los tumores paratesticulares, los del cordón espermático y las túnicas escrotales son los más frecuentes y en su mayoría benignos. En este trabajo se realizó la actualización del tema; se hizo énfasis en aspectos del diagnóstico y tratamiento. Se efectuó una búsqueda bibliográfica en libros de consulta, así como en las bases de datos de Hinari, PubMed/MEDLINE, LILACS y en el motor de búsquedas de Google, entre el 2009 y el 2013. Se utilizaron los términos del MeSH, en idiomas español e inglés: tumores paratesticulares, tumores intraescrotales, tumores del cordón espermático y tumores de las túnicas escrotales. Clínicamente, es básico realizar el diagnóstico diferencial con la hernia inguinal y con el hidrocele. El ultrasonido es el estudio de imagen de elección para su valoración inicial, aunque por su inespecificidad se recurre a la tomografía axial computarizada y a la resonancia magnética nuclear, para obtener más detalles. Para establecer el diagnóstico de certeza, se recomienda la biopsia por congelación transoperatoria, vía inguinotomía. La citología aspirativa con aguja fina, es una opción confiable para clasificarlos si existe sospecha preoperatoria de benignidad, es posible la tumorectomía en los benignos y se evita la orquiectomía radical con ligadura alta del cordón espermático, indicada para los malignos. Una vez confirmado el diagnóstico histológico y el estadio, el manejo debe ser onco-urológico para decidir la conveniencia de tratamientos adyuvantes. Los tumores malignos recurren con mucha frecuencia y a veces tardíamente, lo que obliga al seguimiento estricto y prolongado de estos pacientes.

Among the paratesticular tumors, the spermatic cord and the scrotal tunica tumors are the most frequent and benign. This paper updated this topic, making emphasis in diagnosis and treatment issues. A literature search was made in books and in Hinari, PubMed/MEDLINE, LILACS databases and in Goggle in the period of 2009 through 2013. The MeSH terms in English and Spanish were used: paratesticular tumors, intrascrotal tumors, spermatic cord tumors and scrotal tunica tumors. From the clinical viewpoint, it is fundamental to make the differential diagnosis with the inguinal hernia and hydrocele. The US testing is the imaging study of choice for initial assessment, although its lack of specificity makes specialists to resort to computer axial tomography and nuclear magnetic resonance to have more details of the case. For the purpose of reaching a precise diagnosis, the transoperative freezing biopsy through inguinotomy was recommended. The fine needle aspiration cytology is a reliable option to classify them if the case is suspected of benignancy preoperatively. It is possible to perform tumorectomy in the benign tumors, thus avoiding radical orchiectomy with upper ligature of the spermatic cord, which is the indicated approach to the malignant ones. Once the histological diagnosis and the staging are confirmed, the management should be oncological and urological in order to decide whether the adjuvant treatments are convenient or not. The malignant tumors recurred very frequently and sometimes in later phases, so these patients must be strictly followed-up for a long time.

Diagnóstico y tratamiento de los tumores del epidídimo / Diagnosis and treatment of epididymal tumors

Los tumores del epidídimo son infrecuentes y la mayoría benignos, por lo que muchos no se informan en la literatura médica. En ocasiones, llegar al diagnóstico histológico de certeza, implica realizar múltiples exámenes al paciente y un reto al desempeño del médico. En el presente trabajo se hace un recuento anatómo-fisiológico del epidídimo, así como la actualización del tema de los tumores de dicho órgano, en lo referente al diagnóstico y tratamiento. Se efectuó una búsqueda bibliográfica, en las bases de datos de Hinari, PubMed, MEDLINE y en el motor de búsquedas de Google, en el periodo de 2009 a 2013. Se emplearon los términos del MeSH: tumores paratesticulares, tumores intraescrotales y tumores del epidídimo, en idioma español e inglés. También se revisaron libros de consulta y revistas especializadas. Se confirma el valor del interrogatorio y del examen físico minucioso, para establecer el diagnóstico topográfico y diferencial de estos tumores. Aunque el ultrasonido es el estudio imagenológico de elección para su valoración inicial, muchas veces no es concluyente, por lo que resulta necesario obtener imágenes por resonancia magnética nuclear para lograr información adicional. Cuando el cuadro clínico y los hallazgos de las imágenes suponen un tumor benigno, la citología aspirativa con aguja fina es una opción fiable para clasificarlos en benignos o malignos. No obstante, si esta no es definitoria, se recurre a la biopsia por congelación transoperatoria, la cual se obtiene mediante inguinotomía, y así se evita orquiectomías radicales innecesarias. Los tratamientos adyuvantes, para los tumores malignos, son muy particularizados según la edad del paciente, el tipo histológico y el estadio.

Epididymus tumors are rare and the majority of them are benign, so there is not much information about them in the medical literature. Reaching the final histological diagnosis implies multiple testing and represents a challenge for the physician's performance. The present paper made an anatomical and physiological review of the epididymus as well as provided updating on the tumors affecting this organ in terms of diagnosis and treatment. Literature search was made in databases Hinari, PubMed, Medline and in Goggle from 2009 to 2013. The MeSH terms were paratesticular tumors, intrascrotal tumors and epididymal tumors in Spanish and English. Reference books and specialized journals were also reviewed. This paper confirmed the value of questioning and of the detailed physical exam in order to set the topographic and differential diagnosis of these tumors. Although ultrasound is the imaging study of choice for initial assessment, it is often inconclusive; therefore, it is necessary to obtain nuclear magnetic resonance images so as to have additional information. When the clinical picture and the findings from images may indicate a benign tumor, then fine needle aspiration cytology is a reliable option to make the final classification. Nevertheless, if this technique is not conclusive, then there is the biopsy through transoperative freezing, which is taken with inguinotomy, thus avoiding unnecessary radical orchiectomies. The adjuvant treatments for malignant tumors are very customized since they depend on the patient's age, the histological type and the tumor staging.

Lipomas intraescrotales en niños, un hallazgo casual excepcional / Intrascrotal lipomas in children-an exceptional unexpected finding

Los tumores paratesticulares en niños son poco frecuentes, y son diagnosticados de forma incidental al realizar una ecografía en el contexto de un escroto agudo o un traumatismo. Su exéresis debe realizarse vía inguinal, ante la posibilidad de su malignidad. Se presentan dos casos de tumor paratesticular hallados incidentalmente, cuyo diagnóstico histopatológico confirmó que se trataba de lipomas intraescrotales.

Paratesticular tumors are rare in children and are diagnosed by chance on echography of an acute scrotum or a trauma. It should be excised by the inguinal route to prevent any possibility of malignancy. Here are two cases of paratesticular tumors which were randomly found. The final histopathological diagnosis confirmed that they were intrascrotal lipomas.