Mesothelioma of the tunica vaginalis testis: report of 2 cases with asbestos occupational exposure

International Journal of Surgerical Pathology. 2005 Apr;13(2):211-4. [Link]

Gorini G, Pinelli M, Sforza V, Simi U, Rinnovati A, Zocchi G.

Environmental and Occupational Epidemiology Unit, CSPO, Florence, Italy.

Abstract

We report here 2 cases of malignant mesothelioma of the tunica vaginalis testis. A 67-year-old man with a left testicular mass was referred for left inguinal orchidectomy. Histologic examination showed a malignant mesothelioma of epithelial type. There is no evidence of recurrence at 2-year follow-up. The patient had been exposed to asbestos 12 years previously for a 30-year period. An 80-year-old man presented a 5-year history of scrotal swelling. Clinical examination revealed a hydrocele. The patient underwent resection of the tunica vaginalis through scrotal incision. Microscopic examination showed a malignant mesothelioma of biphasic type. There is no evidence of recurrence at 2-year follow-up. The patient had been exposed to asbestos 52 years previously for a 5-year period.