TY - JOUR
T1 - A rare case report of paratesticular spindle cell tumor
T2 - Inflammatory myofibroblastic tumor
AU - Purnomo, Stefanus
AU - Afriansyah, Andika
AU - Mirza, Hendy
AU - Seno, Doddy Hami
AU - Purnomo, Nugroho
AU - Siregar, Moammar Andar Roemare
N1 - Funding Information:
Nothing to acknowledge.
Publisher Copyright:
© 2023 The Authors
PY - 2023/5
Y1 - 2023/5
N2 - Introduction and importance: Spindle cell tumors in the paratesticular region are infrequent. Accurate diagnosis requires clinical assessment, pathological analysis, and immunohistochemical (IHC) analysis. Case presentation: The present study reports a 33-year-old male who presented with a painless mass in his right testis. The mass grew from the size of a marble to that of a tennis ball in two years. Physical examination and ultrasonography revealed a solid mass in the right paratesticular area. The patient underwent a right paratesticular tumor excision, without interfering the right testis. Histopathologic analysis showed spindle cell tumor appearance referring to inflammatory myofibroblastic tumor (IMT). Clinical discussion: IMT, also known as inflammatory pseudotumor, is a rare and benign neoplasm that can occur anywhere. Diagnosis is challenging, because it mimics other neoplasms. Immunohistochemical profiles were decisive in concluding a definitive diagnosis. Treatment, on the other hand, depends on tumor burden and connectivity to other region. Conclusion: Spindle cell tumors are very rare and can be treated with simple excision if no organ adhesion is detected. Therefore, right orchidectomy was not required in our case.
AB - Introduction and importance: Spindle cell tumors in the paratesticular region are infrequent. Accurate diagnosis requires clinical assessment, pathological analysis, and immunohistochemical (IHC) analysis. Case presentation: The present study reports a 33-year-old male who presented with a painless mass in his right testis. The mass grew from the size of a marble to that of a tennis ball in two years. Physical examination and ultrasonography revealed a solid mass in the right paratesticular area. The patient underwent a right paratesticular tumor excision, without interfering the right testis. Histopathologic analysis showed spindle cell tumor appearance referring to inflammatory myofibroblastic tumor (IMT). Clinical discussion: IMT, also known as inflammatory pseudotumor, is a rare and benign neoplasm that can occur anywhere. Diagnosis is challenging, because it mimics other neoplasms. Immunohistochemical profiles were decisive in concluding a definitive diagnosis. Treatment, on the other hand, depends on tumor burden and connectivity to other region. Conclusion: Spindle cell tumors are very rare and can be treated with simple excision if no organ adhesion is detected. Therefore, right orchidectomy was not required in our case.
KW - Inflammatory myofibroblastic tumor
KW - Paratesticular tumor
KW - Spindle cell tumor
UR - http://www.scopus.com/inward/record.url?scp=85154612217&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2023.108235
DO - 10.1016/j.ijscr.2023.108235
M3 - Article
AN - SCOPUS:85154612217
SN - 2210-2612
VL - 106
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 108235
ER -