Patient With Benign Fibrous Pseudotumors Of Paratesticular Tissues

980 words - 4 pages

The term “Fibrous pseudotumor” is generally referred to a group of benign lesions arising as a result of reactive changes in testicular tunics. The condition is also known as inflammatory pseudotumor, proliferative funniculitis, chronic proliferative periorchitis, fibrous mesothelioma and reactive periorchitis (1,2).
The prevalence of this tumor is so rare and most often it shows itself as painless scrotal masses associated with hydrocele or a history of trauma or infection, the usual site of involvement is tunica vaginalis but in some rare cases it can arise from tunica albuginea, epididymis and spermatic cord as well.
It clinically mimics the malignancies of the region (often appearing as painless multi nodular scrotal masses) which often leads to treatment by radical surgical approach.
Microscopically, the mass is consisted of hyalinized collagenous fibrous stroma rich in thin-walled blood vessels, containing few numbers of fibroblasts and inflammatory cells such as lymphocytes and plasma cells (3).
Here we present a case report of a 26 years old man with multiple masses in his scrotum which were diagnosed as prolifrative funniculitis after resection and microscopic evaluations.

Case report:
A 26 years old male presented with multiple painless solid masses in his right hemi scrotum(around the cord and above the right testis)which were first discovered 2 months before his first visit, the patient didn’t state any exact history of trauma or infection and there was no sign of remarkable weight loss or any other alarming signs.
Significant finding in physical examination was palpation of firm nontender nodules at the right testis’s hilum and alongside the right spermatic cord which were adhered to the involved testis and ipsilateral cord and epididymis.
Laboratory tests revealed leukocytosis (WBC=14500) but the CBC test was otherwise normal, in addition ,there were some findings in favor of hematuria in the urine analysis test (Blood/Hb=1+, RBC=18 to 20 , protein=1+),other laboratory assessments including: ESR1hr,Hemostasis tests,blood biochemistry and serum B-hCG and AFP levels were normal.
As a part of routine approach ultrasonographic study of the patient’s scrotum was conducted which showed multiple hypoechoic solid masses around the right cord and testis with the diameter of 28x15mm for the biggest one, the observed masses had posterior shadow which could be due to the presence of the calcification or fibrosis in their texture.
Removal resection of the masses (right testis and epididymis remained intact) showed 10 yellowish gray nodules, varying from 0.3 to 2.5 centimeters in diameter (fig.1).
In microscopy the nodules were consisted of fibroblastic proliferation within a hyalinized fibrocollagenous stroma supplied by thin-walled blood vessels, inflammatory cell (lymphocytes and plasma cells) infiltration was also seen (fig.2).
After completion of the assessments the nodules were diagnosed as proliferative funiculitis....

Find Another Essay On Patient With Benign Fibrous Pseudotumors of Paratesticular Tissues

The aims and objectives of this assignment are to select a patient that I have cared for with complex health care needs and identify one aspect of patient education he/she requires

1235 words - 5 pages I was introduced to the client, a woman of approximately 40 years of age, and her permission was given for me to use this assessment for the purpose of my study. The client in this assignment will be referred to as "Mrs X" - a pseudonym, in order to protect her real identity. For the purpose of confidentiality, this is also a requirement of the Nursing and Midwifery Code of Professional Practice (2002).Mrs X is a newly diagnosed patient with non

Patient with Diagnosis of Borderline Personality Disorder

1290 words - 5 pages , effects of cocaine use, and effects of physical abuse through Ecchymosis Psychosocial Factors: History of physical and verbal abuse, parental disapproval, academic problems, moving to a new country, cultural differences, language differences, withdrawal from peers, and negative comparison to siblings Case Conceptualization: Client, Maria, is a seventeen-year-old Hispanic female presenting with symptoms consistent with Borderline

Coincidence of Congenital Facial Lipoma and Infiltrative Lingual Myxoma in a Newborn Holstein Calf

1788 words - 8 pages coincidence with facial lipoma is reported for the first time. Key word: Calf, Histopathology, Lipoma, infiltrative Myxoma Introduction: Tumours in calves, like those in children, are relatively uncommon. These tumours are interesting because of their occurrence early in life, indicating a probable congenital nature(Misdorp, 2002). Myxoma is a benign neoplastic process (Okamoto et al., 2002) of fibroblast or multipotential mesenchymal cells origin

three types of outpatient cancer treatments

929 words - 4 pages organisms.The main classification of the neoplasms as either benign or malignant relates to their behavior. Several relative differences classify these two classes. A benign neoplasm, for instance, is harmless, but malignant is not. Malignancies grow more rapidly than do benign forms and invade adjacent normal tissues. Tissue of a benign tumor is structured in a manner similar to that of the tissue from which it is derived, malignant tissue, however

Bladder Cancer

1674 words - 7 pages lining of the bladder stops regulating the growth of the cells normally and start dividing uncontrollably, which then results is a mass of cells that form a tumor. Tumors can be benign (non-cancerous) or malignant (cancerous) The wall of the bladder has layers of tissue: • Inner layer: Also called the lining is the inner layer of tissue. As your bladder fills up with urine, the transitional cells on the surface stretch. When you empty your

A Detailed Explanation of Gynecomastia

2038 words - 8 pages in about a year. However, in the case of severe gynecomsatia where the breast has an increase of fibrous tissue stroma the patient will require a surgical reduction mammo-plasty. Once this has been done the tissue is sent to a lab to be examined. The results should show elongated circular ducts imbedded in cellular fibrous tissue with a rubbery fatty quality. From these laboratory tests it can be determined if there is any cribiform epithelial

Tracking Metastasis and Tricking Cancer

1329 words - 5 pages , and that is that some non-cancerous tissues produce markers (Craft, Gordon & Tiziani, 2011). Therefore, to determine whether a patient has cancer, additional tests are necessary (Craft, Gordon & Tiziani, 2011). Sentinel nodes are lymph nodes that receive the bodies waste first (Craft, Gordon & Tiziani, 2011). It is believed that the cancer cells are metastasised to these nodes before spreading to other nodes of the body (Craft, Gordon

Investigation of Tissues

1171 words - 5 pages Investigation of Tissues Tissues are defined as a group of associated, similarly structured cells that with their ground substance act together in the performance of a specialised function for the survival of the multicellular organism. The tissues are classified into four main groups which are epithelial, connective, muscle and nervous. ( accessed 08 October 2004) Epithelial

My Redemtion From the Muscle Test

665 words - 3 pages : “rare genetic disorder in which the fibrous tissues, muscles, and periosteal regions undergo progressive ossification.” (Mankin, 2009, p. 169) According to the International Fibrodyplasia Ossificans Progressiva Association, “FOP often begins in the neck and shoulders and progresses along the back, trunk, and limbs of the body.” (FOP Symptoms, 2009) ”The heterotopic bone can form in skeletal muscles and other connective tissue, such as fascia

Cancer: What Everyone Should Know

3017 words - 12 pages cancer can spread. Direct Extension, which is as a tumor grows it begins to invade organs and tissues next to it. Through the blood which is when arteries pump blood through our body but also to the tumor, and pieces of the tumor get into the bloodstream and cause more tumors to accumulate. Tumors can also easily spread to the lymph system and then travel to the lymph nodes spreading the cancer (Ko, Dollinger, and Rosenbaum 7). With the number of


1682 words - 7 pages . This simple story was the basis for intensity modulated radiotherapy (IMRT). This is a technique used to treat cancerous tumors on which a removal operation could not be performed. Interesting dose distributions generated by IMRT allow a better sparing of normal tissues with decreased acute and late toxicity, and offer a window for further dose escalation’s. (De Neve W; Claus F; Van Houtte P; Derycke S; De Wagter C) In order to get a

Similar Essays

Management Of Hospitalized Patient With Diabetes Mellitus

2806 words - 11 pages (38.2 and above), and the febrile response of the body in order to provide the best holistic care for the patient (Thompson, p.11). Andrew states (2004, p.65.) high temperature may be indicative of infection from a recent revascularization procedure, as Mr. Brown is presenting with a high grade fever he should be started on Intravenous Therapy (IVT) of antibiotics as soon as possible to avoid further complications such as convulsions, further

Nursing Essay On The Care Of A Patient With Breastcancer And Lymphoedema

1863 words - 7 pages ).According to Alexander et al (1994) pain can be described as acute or chronic in nature and the experience of pain may also affect the patient psychologically. Therefore they describe acute pain, as a pain that follows injury, or surgery that is rapid on onset, has a short duration, varies in intensity and can produce psychological effects such as fear and anxiety.Indifferently, Chronic pain is a pain that is associated with progressive diseases

The Author Of This Essay Will Be Discussing A Patient With Type 2 Diabetes Mellitus

3083 words - 12 pages IntroductionThe author of this essay will be discussing a patient with type 2 Diabetes Mellitus and will also be discussing the nursing care that will be received by the patient following a hypoglycaemic attack.The patient being described is a fictitious seventy year old lady called Mabel Gordon; she lives in a flat in a city centre with her husband Bert. Mabel has had type 2 diabetes for years which has been poorly controlled by medication and

Reflective Acount Of Patient With The Onset On Type 2 Diabetes

2815 words - 11 pages patient can begin the long process of learning to live with their condition.AnalysisTwo main areas emerged during the history taking, the psychological factors of obesity and the affects of obesity on diabetes, and the recognition that there was a history of depression. Depression is not generally listed as a complication of diabetes. However, it can be one of the most common and dangerous complications. The rate of depression in diabetics is much