Oncol Case Rep J | Volume 5, Issue 1 | Case Report | Open Access

Paratesticular Fibrous Pseudotumor: A Case Report

Ilyass Zerda, Amine Saouli*, Abdoulazizi Bilgo, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani and Ahmed IbenAttya Andaloussi

*Correspondance to: Amine Saouli, 

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Background: Paratesticular Fibrous Pseudotumor (PFP) is a rare benign tumor that is not a
neoplasm but a reactive fibrous inflammatory hyperplasia that occurs from the vaginal tunica,
epididymis or spermatic cord. The diagnosis of this entity is purely histological.
Case Report: We report the case of a 22-year-old patient with no notable history, who presents a
left testicular mass discovered by autopalpation, which has gradually increased in size over the past
3 years. On physical examination, a left paratesticular mass is palpated, firm, not hard and painless.
Ultrasound revealed the presence of an epididymal mass, scrotal MRI showed well-limited left
tissue formation hyposignal in T1, T2 and diffusion, which was markedly enhanced after injection
of contrast product. The diagnosis of a benign fibrous tumor of the epididymis was retained on
histological examination.
Conclusion: Paratesticular fibrous tumors remain a rare entity of benign tumors, radiological
exploration does not confirm the benignity of the tumor, and surgical exploration with an
extemporaneous examination remains the most suitable attitude followed by excision of the tumor
and the tunica vagina.


Testis; Tumor; Benign; Fibrous pseudotumor


Zerda I, Saouli A, Bilgo A, Karmouni T, El Khader K, Koutani A, et al. Paratesticular Fibrous Pseudotumor:
A Case Report. Oncol Case Report J. 2022; 5(1): 1045. ISSN: 2641-9173.

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