A RARE CASE REPORT ON PARATESTICULAR MALIGNANT MESOTHELIOMA

Abstract

Paratesticular mesotheliomas are rare
tumours. The sole plausible causative
factor so far ascertained in the pathogenesis
of these tumors is asbestos,
which however is found in only around
30 to 40 of such cases. The age range of
affected individuals is wide, mostly adults
and the elderly, but also includes young
people and children.Malignant mesothelioma
is an uncommon tumour arising
in body cavities lined by mesothelium.
The majority of these tumours are found
in the pleura, peritoneum and less frequently
pericardium. As the tunica
vaginalis is a layer of reflected peritoneum,
mesothelioma can occur in the
scrotal sac. The nonspecific symptoms,
broad age distribution and lack of tumour
markers make pre-operative diagnosis of
malignant mesothelioma of the tunica
vaginalis difficult and indeed most of the
reported cases were diagnosed at histology.