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Case Reports in Medicine
Volume 2012, Article ID 189170, 4 pages
Case Report

Malignant Mesothelioma of the Tunica Vaginalis: Presenting with Intermittent Scrotal Pain and Hydrocele

1School of Medicine, Koc University, 34450 Istanbul, Turkey
2Division of Urology, VKF American Hospital, 34365 Istanbul, Turkey
3Istanbul Pathology Group, 34365 Istanbul, Turkey

Received 16 May 2012; Revised 22 June 2012; Accepted 1 July 2012

Academic Editor: Bruno Megarbane

Copyright © 2012 Tarık Esen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Paratesticular mesotheliomas are very rare tumors. In this paper, we present the management of a 38-year-old male patient with paratesticular malignant mesothelioma who was initially misdiagnosed and treated as recurrent epididymitis. After the final pathology report defining paratesticular mesothelioma during scrotal exploration, he underwent radical orchiectomy and hemiscrotal excision as a complementary, secondary procedure. His metastatic workup did not show any dissemination. Therefore, he did not receive any adjuvant treatment and remained disease-free for more than 2 years.