Testicular Mass: Is Orchiectomy Necessary? A Case Report

Testicular fibrous pseudotumor is a rare benign condition.It is often mistaken for malignant testicular masses, leading to unnecessary orchiectomies in many patients.We present a case of a 23-year-old male with a painless and enlarging mass in his left testis.Tumor markers were within normal limits, and imaging studies, including ultrasound and magnetic resonance imaging, could not definitively differentiate between a benign and malignant mass.During surgery, intraoperative frozen section analysis did not reveal malignancy, so the mass was excised en bloc with its capsule, sparing the testis and spermatic cord, thus avoiding unnecessary orchiectomy.

Authors

Publication Details

Journal
Journal of Urological Surgery
Published
2025-04-21
DOI
https://doi.org/10.4274/jus.galenos.2024.2024-9-4
Primary Topic
Testicular diseases and treatments
Type
article
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article

Testicular Mass: Is Orchiectomy Necessary? A Case Report

Muhammed Selçuk Özer, Gürol Akan
Journal of Urological Surgery
Testicular diseases and treatments
article

Testicular Mass: Is Orchiectomy Necessary? A Case Report

Muhammed Selçuk Özer, Gürol Akan
article en

Abstract

Testicular fibrous pseudotumor is a rare benign condition.It is often mistaken for malignant testicular masses, leading to unnecessary orchiectomies in many patients.We present a case of a 23-year-old male with a painless and enlarging mass in his left testis.Tumor markers were within normal limits, and imaging studies, including ultrasound and magnetic resonance imaging, could not definitively differentiate between a benign and malignant mass.During surgery, intraoperative frozen section analysis did not reveal malignancy, so the mass was excised en bloc with its capsule, sparing the testis and spermatic cord, thus avoiding unnecessary orchiectomy.

Journal of Urological Surgery
Gender equality
Openalex Percentile: Top 86%
Testicular diseases and treatments
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Testicular Mass: Is Orchiectomy Necessary? A Case Report — Muhammed Selçuk Özer, Gürol Akan · Journal of Urological Surgery (2025) | TGRS Research Map | TGRS