Diffuse fibrous pseudotumor of paratesticular tissue

ABSTRACT

Paratesticular tumors are uncommon and comprise less than 5% of all intra-scrotal tumors. Fbrous pseudotumours are reactive fibrous proliferations of inflammatory and fibrous tissue, usually in response to surgery, trauma, infection, or inflammation. We present a case of a 25 years old male patient who presented with an asymptomatic firm non-tender right testicular swelling. Plasma HCG and alpha fetoprotein [AFP] levels were within normal limits. A total right orchidectomy and epididymectomy revealed normal testis completely encased by a thick firm fibrotic band of tissue. A diagnosis of diffuse fibrous pseudo tumor of para testicular tissue was made on histology. The possibility of fibrous pseudotumor of paratesticular tissue should be considered in young patients presenting with testicular swellings and normal tumor markers