Fibrous Pseudotumor of the Tunica Vaginalis of the Scrotum: Is there a Typical Ultrasound Pattern?

Case 2 ▼ A 59-year-old man reported a progressive painless swelling of the right scrotum for 8 months. There was no previous history of a testicular abnormality. The patient underwent a transurethral resection for a prostatic hyperplasia one year ago. On physical examination, multiple hard nodules were palpated simulating a large solid right testicular mass. Because of the clinical suspicion of malignancy, a right orchidectomy was performed. The testis was uninvolved and surrounded by an irregular thickened tunica vaginalis. The pathological analysis confirmed the diagnosis of a benign fibrous pseudo tumor of the tunica vaginalis.