Abstract
ABSTRACT
Introduction
Herein, we report a case of mesothelioma of the tunica vaginalis testis (MTVT), treated as a hydrocele.
Case Presentation
A 65‐year‐old man was referred to our hospital after MTVT was incidentally diagnosed during hydrocelectomy performed for recurrent hydrocele. Left hemiscrotectomy was performed, and pathological examination revealed an epithelioid‐type MTVT with invasion into the testis and spermatic cord. Immunohistochemistry was positive for D2‐40 and calretinin, and negative for cytokeratin 5/6 and carcinoembryonic antigen. The patient remained disease‐free for 12 months postoperatively without adjuvant treatment.
Conclusion
MTVT should be considered in patients with long‐standing or recurrent hydrocele. Wide surgical excision is essential for local control.