Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: a five-case experience

Authors

  • Jennifer Gordetsky Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester; Department of Urology, University of Rochester Medical Center, Rochester, New York, USA
  • Jennifer Findeis-Hosey Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester
  • Erdal Erturk Department of Urology, University of Rochester Medical Center, Rochester, New York, USA
  • Edward M. Messing Department of Urology, University of Rochester Medical Center, Rochester, New York, USA
  • Jorge L. Yao Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester
  • Hiroshi Miyamoto Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester

DOI:

https://doi.org/10.5489/cuaj.668

Abstract

Background: Fibrous pseudotumours of the testicular and paratesticular
tissues are fibroinflammatory reactive lesions that can
clinically mimic neoplasms. Very little is known about the role of
frozen section analysis (FSA) for these lesions in terms of intraoperative
surgical management.

Methods: We recently experienced 5 patients with testicular/paratesticular
fibrous pseudotumours in whom frozen sections were
used to demonstrate its non-neoplastic nature prior to the decision
for radical surgery.

Results: In 2 cases, FSA resulted in testicular-sparing surgery. In
contrast, the remaining 3 cases ultimately underwent radical orchiectomy,
due to questionable viability of the testicle involved by
inflammatory/infiltrative lesions and in 1 case a slight possibility
of lymphoproliferative malignancy.

Conclusion: Urologists should be aware of this entity and its gross
features, such as firm masses and diffuse fibrous proliferation encasing
the testicle to help determine intraoperative management. In
select cases, intraoperative FSA is helpful in obviating radical
orchiectomy.

Downloads

Download data is not yet available.

Author Biographies

Jennifer Gordetsky, Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester; Department of Urology, University of Rochester Medical Center, Rochester, New York, USA

Jennifer Findeis-Hosey, Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester

Erdal Erturk, Department of Urology, University of Rochester Medical Center, Rochester, New York, USA

Edward M. Messing, Department of Urology, University of Rochester Medical Center, Rochester, New York, USA

Jorge L. Yao, Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester

Hiroshi Miyamoto, Department of Pathology & Laboratory Medicine, University of Rochester Medical Center, Rochester

Downloads

How to Cite

Gordetsky, J., Findeis-Hosey, J., Erturk, E., Messing, E. M., Yao, J. L., & Miyamoto, H. (2013). Role of frozen section analysis of testicular/paratesticular fibrous pseudotumours: a five-case experience. Canadian Urological Association Journal, 5(4), E47-E51. https://doi.org/10.5489/cuaj.668

Issue

Vol. 5 No. 4 (2011): August

Section

Case Series

License

You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:

  • Post the Article on any Web site
  • Translate or authorize a translation of the Article
  • Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
  • Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.

The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.

You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.

The CUA also requires you to warrant the following:

  • That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
  • That all individuals who have made a substantive contribution to the article are acknowledged;
  • That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
  • That the Article does not libel or violate the privacy rights of any third party.