Papillary serous carcinoma of the tunica vaginalis testis

This is a case report of a testicular papillary serous carcinoma of ovarian type (PSCOT) diagnosed in a 50-year-old man. The tumor presented in the form of multiple papillary exophytic excrescencies on the visceral tunica vaginalis testis lining the inner surface of a hydrocele sac. The tumor was hi...

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Bibliographic Details
Published in:Pathology, research and practice research and practice, 2000, Vol.196 (11), p.781-782
Main Authors: Becerra, Patricia, Isaac, Maria Alejandra, Márquez, Bélgica, Garcia-Puche, Jose L., Zuluaga, Armando, Nogales, Francisco F.
Format: Article
Language:English
Subjects:
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomarkers, Tumor - analysis
Cisplatin - administration & dosage
Cyclophosphamide - administration & dosage
Cystadenocarcinoma, Papillary - chemistry
Cystadenocarcinoma, Papillary - drug therapy
Cystadenocarcinoma, Papillary - pathology
Cystadenocarcinoma, Papillary - surgery
Diagnosis, Differential
Doxorubicin - administration & dosage
Humans
Inguinal Canal - pathology
Male
Mesothelioma
Mesothelioma - diagnosis
Middle Aged
Neoplasm Proteins - analysis
Papillary serous carcinoma
Testicular Hydrocele - pathology
Testicular Hydrocele - surgery
Testicular Neoplasms - chemistry
Testicular Neoplasms - drug therapy
Testicular Neoplasms - pathology
Testicular Neoplasms - surgery
Testis
Tunica albuginea
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Summary:This is a case report of a testicular papillary serous carcinoma of ovarian type (PSCOT) diagnosed in a 50-year-old man. The tumor presented in the form of multiple papillary exophytic excrescencies on the visceral tunica vaginalis testis lining the inner surface of a hydrocele sac. The tumor was histologically a papillary serous carcinoma with numerous psammoma bodies, indistinguishable from similar tumors arising on the surface of the ovary. Following the tumor's surgical removal, the patient was treated with the same drugs used to treat ovarian serous carcinomas, and he is alive two years after the initial diagnosis. PSCOT must be distinguished from mesothelioma of the tunica vaginalis testis, a tumor with a most unfavorable prognosis. As shown here, immunohistochemical findings can be useful for formulating the correct diagnosis of PSCOT.
ISSN:0344-0338
1618-0631
DOI:10.1016/S0344-0338(00)80113-2