Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: A five-case experience

Jennifer Gordetsky, Jennifer Findeis-Hosey, Erdal Erturk, Edward M. Messing, Jorge L. Yao, Hiroshi Miyamoto

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Fibrous pseudotumours of the testicular and paratesticular tissues are fibroinflammatory reactive lesions that can clinically mimic neoplasms. Very little is known about the role of frozen section analysis (FSA) for these lesions in terms of intraoperative surgical management. Methods: We recently experienced 5 patients with testicular/paratesticular fibrous pseudotumours in whom frozen sections were used to demonstrate its non-neoplastic nature prior to the decision for radical surgery. Results: In 2 cases, FSA resulted in testicular-sparing surgery. In contrast, the remaining 3 cases ultimately underwent radical orchiectomy, due to questionable viability of the testicle involved by inflammatory/infiltrative lesions and in 1 case a slight possibility of lymphoproliferative malignancy. Conclusion: Urologists should be aware of this entity and its gross features, such as firm masses and diffuse fibrous proliferation encasing the testicle to help determine intraoperative management. In select cases, intraoperative FSA is helpful in obviating radical orchiectomy.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalJournal of the Canadian Urological Association
Volume5
Issue number4
DOIs
StatePublished - Aug 1 2011

ASJC Scopus subject areas

  • Oncology
  • Urology

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