Multiple paratesticular fibrous pseudotumors in an adult patient: case report and literature review

Paratesticular fibrous pseudotumors (PFP) are relatively rare benign spindle cell tumors. These tumors usually originated from testicularis tunics and grow into the epididymis and spermatic cord. PFP is a consequent of a reactive proliferation of inflammatory tissue. We report a case of PFP with simultaneous multiple tunica albuginea and tunica vaginalis lesions. A 33-year-old man presented with painless right scrotal lump, normal serum tumor markers and one centimeter paratesticular mass in ultra-sonography that underwent testis sparing surgery due to benign microscopic appearance in frozen section evaluation. Testis sparing surgery can be considered as the preferred management because of the lack of obvious evidence of potential malignancy in this tumor.