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RESIDENT’S CORNER

Malignant mesothelioma of the tunica vaginalis: a rare case report and description of multimodal treatment

Eric D. Andresen¹, Grant Henning², Matthew A. Uhlman¹, Amit Gupta¹

1 Department of Urology, University of Iowa, Iowa City, Iowa, USA
2 Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
Address correspondence to Dr.Amit Gupta, Department of Urology, University of Iowa, 200 Hawkins Dr., 3 RCP, Iowa City, IA52242-1089 USA

Canadian Journal of Urology 2016, 23(6), 8585-8589.

Abstract

Malignant mesothelioma is an uncommon neoplasm that develops from serous surfaces, and rarely from the tunica vaginalis. Although atypical in any location, paratesticular presentation is exceedingly infrequent as only 0.3% to 1.4% of mesothelioma cases arise from the tunica vaginalis. Fewer than 300 cases have been reported with very few descriptions of long term follow up and multimodal therapy. Here we describe a patient with 2 years of follow up for metastatic mesothelioma treated with orchiectomy, chemotherapy and robot-assisted laparoscopic retroperitoneal lymph node dissection.

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