Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient

Mesotheliomas of the tunica vaginalis testis are rare malignant tumors that can present as a scrotal mass or hydrocele. These tumors are typically aggressive with high rates of recurrence and metastasis. Suspected risk factors for malignant mesothelioma include asbestos exposure, chronic inflammatio...

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Main Authors: Brett M. Behers, Christopher W. Guske, Benjamin J. Behers, Spencer B. Kortum, Isabella G. Bermingham, Christina L. Warner, Robert I. Carey
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2024/9227764
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author Brett M. Behers
Christopher W. Guske
Benjamin J. Behers
Spencer B. Kortum
Isabella G. Bermingham
Christina L. Warner
Robert I. Carey
author_facet Brett M. Behers
Christopher W. Guske
Benjamin J. Behers
Spencer B. Kortum
Isabella G. Bermingham
Christina L. Warner
Robert I. Carey
author_sort Brett M. Behers
collection DOAJ
description Mesotheliomas of the tunica vaginalis testis are rare malignant tumors that can present as a scrotal mass or hydrocele. These tumors are typically aggressive with high rates of recurrence and metastasis. Suspected risk factors for malignant mesothelioma include asbestos exposure, chronic inflammation, trauma, and persistent hydrocele. We report the case of a malignant epithelioid mesothelioma of the tunica vaginalis testis that presented as a finding at hydrocelectomy and was ultimately treated with radical inguinal orchiectomy. This patient was on chronic immunosuppression therapy with tacrolimus and mycophenolate mofetil secondary to a kidney transplant but had none of the common risk factors for mesothelioma formation. To our knowledge, this is the first case describing a possible connection between chronic immunosuppression and mesothelioma of the tunica vaginalis. However, future studies are needed to investigate this association and discern whether this could have played a role in our patient or if his mesothelioma formation was coincidental.
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institution Kabale University
issn 2090-6978
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-8f0ec7d6a09f4a74b76852738d6daa162025-08-20T03:37:16ZengWileyCase Reports in Urology2090-69782024-01-01202410.1155/2024/9227764Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant RecipientBrett M. Behers0Christopher W. Guske1Benjamin J. Behers2Spencer B. Kortum3Isabella G. Bermingham4Christina L. Warner5Robert I. Carey6University of South Florida College of MedicineUniversity of South Florida College of MedicineFlorida State University College of MedicineFlorida State University College of MedicineFlorida State University College of MedicineSaraPath DiagnosticsJellison Cancer InstituteMesotheliomas of the tunica vaginalis testis are rare malignant tumors that can present as a scrotal mass or hydrocele. These tumors are typically aggressive with high rates of recurrence and metastasis. Suspected risk factors for malignant mesothelioma include asbestos exposure, chronic inflammation, trauma, and persistent hydrocele. We report the case of a malignant epithelioid mesothelioma of the tunica vaginalis testis that presented as a finding at hydrocelectomy and was ultimately treated with radical inguinal orchiectomy. This patient was on chronic immunosuppression therapy with tacrolimus and mycophenolate mofetil secondary to a kidney transplant but had none of the common risk factors for mesothelioma formation. To our knowledge, this is the first case describing a possible connection between chronic immunosuppression and mesothelioma of the tunica vaginalis. However, future studies are needed to investigate this association and discern whether this could have played a role in our patient or if his mesothelioma formation was coincidental.http://dx.doi.org/10.1155/2024/9227764
spellingShingle Brett M. Behers
Christopher W. Guske
Benjamin J. Behers
Spencer B. Kortum
Isabella G. Bermingham
Christina L. Warner
Robert I. Carey
Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
Case Reports in Urology
title Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
title_full Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
title_fullStr Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
title_full_unstemmed Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
title_short Malignant Epithelioid Mesothelioma of the Tunica Vaginalis Testis Presenting as Hydrocele in a Kidney Transplant Recipient
title_sort malignant epithelioid mesothelioma of the tunica vaginalis testis presenting as hydrocele in a kidney transplant recipient
url http://dx.doi.org/10.1155/2024/9227764
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