Inflammatory myofibroblastic tumor of the spermatic cord: two cases and review of the literature

• Published in: Annals of Saudi medicine 2020-01, Vol.40 (1), p.66-71
• Main Authors: Aydemir, Huseyin, Budak, Salih, Kahyaoglu, Zeynep, Kumsar, Sukru
• Format: Article
• Language: English
• Subjects: Aged, 80 and over; Case Report; Genital Neoplasms, Male - pathology; Humans; Male; Middle Aged; Neoplasms, Muscle Tissue - pathology; Spermatic Cord - pathology
• ISSN: 0256-4947; 0975-4466
• DOI: 10.5144/0256-4947.2020.66

Inflammatory myofibroblastic tumor (IMT) is a neoplasm of intermediate biological potential. Few cases of spermatic cord IMT have been reported in the literature. Inflammatory myofibroblastic tumor is a consequence of the proliferation of fibroblasts and inflammatory cells. Despite its benign nature, the tumor often clinically mimics intrascrotal malignancy and usually remains undiagnosed preoperatively. The diagnosis of spermatic IMT is difficult preoperatively due to the non-specific findings. Therefore, if testicular tumors cannot be precisely excluded, radical orchiectomy should be performed for the diagnosis and treatment. However, it mainly occurs in children and young adults; spermatic IMT may also be seen among elderly men. Here, we report two cases of inflammatory myofibroblastic tumor involving the spermatic cord. SIMILAR CASES PUBLISHED: There are seven cases entitled "inflammatory myofibroblastic tumor of spermatic cord" in the literature. In our study we present two cases that had a spermatic cord IMT. Furthermore, one of these cases was 82 years of age and is the oldest patient presented in the literature.