Conclusions A preoperative diagnosis of mesotheliomas presenting as solid paratesticular masses seems very difficult with imaging. On the contrary, the diagnosis must be considered in patients in whom a hydrocele with parietal vegetations is detected, especially if these show high vascularity. Key Points • Mesotheliomas of the tunica vaginalis are rare, often challenging to diagnose preoperatively. • Most common finding is a complex hydrocele with hypervascular parietal vegetations. • Septated hydrocele, nodules without hydrocele, a thick-walled paratesticular cyst are less common. • Preoperative diagnosis may allow aggressive surgical approach and, possibly, a better pr...
from MedWorm: Mesothelioma http://www.medworm.com/index.php?rid=165376928&cid=c_409_37_f&fid=33428&url=http%3A%2F%2Flink.springer.com%2F10.1007%2Fs00330-015-3887-9
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