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Paratesticular Fibrous Pseudotumor in Children

A Case Report and Review of Literature

Miscia, Maria E. MD*; Cecinati, Valerio MD; Fusillo, Mario MD; Persico, Antonello MD; Lauriti, Giuseppe MD; Lisi, Gabriele MD; Lelli Chiesa, Pierluigi*,‡

Journal of Pediatric Hematology/Oncology: July 2019 - Volume 41 - Issue 5 - p 404–406
doi: 10.1097/MPH.0000000000001274
Clinical and Laboratory Observations
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Background: Paratesticular fibrous pseudotumor (PFP) is a rare benign tumor that can mimic malignant tumors; thus, radical orchiectomy was the standard treatment in the past.

Observation: A 15-year-old boy came to our attention for a hard right inguinal swelling. An ultrasound showed a highly vascularized mass. The boy underwent a gonadal-sparing excision of the mass that was diagnosed to be a PFP. The patient recovered well, without recurrences at the follow-up.

Conclusions: PFP is mostly asymptomatic, and its diagnosis is incidental. Only further 4 pediatric cases were reported in the literature. Our case confirms that gonadal-sparing surgery is an optimal treatment.

*Department of Pediatric Surgery, “G.d’Annunzio” University of Chieti

Departments of Pediatric Oncology and Hematology

Pediatric Surgery, “Spirito Santo” Hospital of Pescara, Pescara, Italy

The authors declare no conflict of interest.

Reprints: Maria E. Miscia, MD, Department of Pediatric Surgery, “G.d’Annunzio” University of Chieti, Unita’ Operativa di Chirurgia Pediatrica, Ospedale “Spirito Santo” Via Fonte Romana n.8, Pescara 65124, Italy (e-mail: menrica.miscia@gmail.com).

Received January 25, 2018

Accepted June 20, 2018

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