Granulosa Cell Tumor of Scrotal Tunics: A Case Report
- KMID: 754115
- DOI: http://doi.org/10.3348/kjr.2001.2.2.117
Abstract
- We report a case of adult granulosa cell tumor arising in the scrotal tunics. The patient was a 34-year-old man who presented with right scrotal swelling, first noticed four months previously. Under the initial clinical impression of epididymo-orchitis, antibiotic treatment was instituted but there was no response. The paratesticular nodules revealed by ultrasound and magnetic resonance imaging mimicked intratesticular lesion, and radical orchiectomy was performed. Although several cases of adult testicular granulosa cell tumor, have been reported, the occurrence of this entity in the paratesticular area has not, as far as we are aware, been previously described.
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Figure
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Fig. 1 Axial MR images of the scrotum. A. Sagittal sonogram of the right side of the scrotum. A well-defined hypoechoic mass (short arrows) in the tesitis and a small hypoechoic nodule adjacent to the upper pole of the testis (long arrow) are seen. Extensive hydrocele is present. B, C. T1-weighted (A), Gd-enhanced T1-weighted (B), and T2-weighted (C) MR images reveal well-defined nodules in the testis and adjacent to it. In image B, strong peripheral enhancement is observed (arrowheads). Note that on the T2-weighted image there is a dark rim that separates normal testis from the nodule (arrows). E. In the lower portion of the scrotum there is extensive hydrocele, and small enhancing nodules (arrowheads) are seen along the inner margin of the scrotal wall. F. Pathologic findings of the tumor. Histopathologic specimen shows a nodule between the tunica vaginalis and the testis. Note the preservation of the inner margin of the tunica albuginea (arrows) (H and E, original magnification ×40).
Reference
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