Paratesticular fibrous pseudotumor (PFP) is a rare benign tumor that can mimic malignant tumors; thus, radical orchiectomy was the standard treatment in the past.
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.
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: email@example.com).
Received January 25, 2018
Accepted June 20, 2018