3.8 Article

Benign Mesothelial Proliferations of the Tunica Vaginalis Testis

Journal

CLINICS AND PRACTICE
Volume 13, Issue 5, Pages 1130-1136

Publisher

MDPI
DOI: 10.3390/clinpract13050101

Keywords

well-differentiated papillary mesothelioma; florid mesothelial hyperplasia; pseudotumor; differential diagnosis

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The correct diagnosis of mesothelial proliferations is a classic challenge for pathologists, and it holds significant clinical implications. These proliferations are frequently associated with recurrent hydrocele, and their morphological characteristics can resemble malignancy, leading to potential misdiagnosis.
The correct diagnosis of mesothelial proliferations is a classic problem for pathologists, and one which has important clinical implications. A significant number of such cases appear associated with recurrent hydrocele, as an irritative/reactive response to this condition. The morphological spectrum of mesothelial lesions in this topography is broad, and a set of benign conditions may appear, sometimes with florid gross features and cytologic pseudo-atypia. Here, we present two different examples in which malignancy was initially considered in the differential diagnosis.

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