Work

When a hydrocele is more than a hydrocele: Warning symptoms and signs of malignant mesothelioma of the tunica vaginalis testis

Year: 2026

Type: article

Abstract: Malignant mesothelioma of the tunica vaginalis testis (MMTVT) is a rare tumor with no pathognomonic features. It most often presents as a hydrocele. Preoperative assessment, surgical management and prognosis of MMTVT are different than that of a hydrocele. When MMTVT is not suspected and a transcrotal hydrocelectomy is performed, the latter predisposes to tumor cell seeding, increases the risk of tumor recurrence, and decreases the patient's life survival. Therefore, it is prudent for physicians to identify warning symptoms and signs of MMTVT so that they can identify when a hydrocele is more than a hydrocele.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103430

Authors: Joel Cornfield, Mary Lee, Roohollah Sharifi

Institutions: Jesse Brown VA Medical Center, Midwestern University, University of Illinois Chicago

Language: English

Topic: Testicular diseases and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160