Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature

Primary malignant mesothelioma (MM) of spermatic cord is extremely rare. We presented two malignant mesotheliomas involving the spermatic cords; one was primary, one secondary. The secondary one represented the direct involvement by a peritoneal MM. No occupational exposure to asbestos was identifie...

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Main Authors: Xianmin Meng, Thomas J. Guzzo, Zhanyong Bing
Format: Article
Language:English
Published: SAGE Publishing 2013-03-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/4352
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author Xianmin Meng
Thomas J. Guzzo
Zhanyong Bing
author_facet Xianmin Meng
Thomas J. Guzzo
Zhanyong Bing
author_sort Xianmin Meng
collection DOAJ
description Primary malignant mesothelioma (MM) of spermatic cord is extremely rare. We presented two malignant mesotheliomas involving the spermatic cords; one was primary, one secondary. The secondary one represented the direct involvement by a peritoneal MM. No occupational exposure to asbestos was identified in either patient. Both of them presented with a painless inguinal mass. Microscopically the primary MM was epithelioid type with tumor nests infiltrating adjacent adipose tissue, while the secondary MM grew in mixed type. No tumor necrosis was seen in the primary MM, while extensive necrosis was seen in the secondary one. Rare mitotic figure was seen in the primary MM while the mitosis in the secondary tumor was brisk, and with atypical mitosis. Immunohistochemically the tumor cells were positive for calretinin and CK5/6 and negative for BER-EP4 and BRST3 in both cases. The reported cases of primary MM from spermatic cord in English literature were briefly reviewed.
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spelling doaj.art-fb1057130b22434391d4862f0002bbf62022-12-21T19:26:28ZengSAGE PublishingRare Tumors2036-36052036-36132013-03-0151e4e410.4081/rt.2013.e42450Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literatureXianmin Meng0Thomas J. Guzzo1Zhanyong Bing2Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PADepartment of Urology, Hospital of the University of Pennsylvania, Philadelphia, PADepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PAPrimary malignant mesothelioma (MM) of spermatic cord is extremely rare. We presented two malignant mesotheliomas involving the spermatic cords; one was primary, one secondary. The secondary one represented the direct involvement by a peritoneal MM. No occupational exposure to asbestos was identified in either patient. Both of them presented with a painless inguinal mass. Microscopically the primary MM was epithelioid type with tumor nests infiltrating adjacent adipose tissue, while the secondary MM grew in mixed type. No tumor necrosis was seen in the primary MM, while extensive necrosis was seen in the secondary one. Rare mitotic figure was seen in the primary MM while the mitosis in the secondary tumor was brisk, and with atypical mitosis. Immunohistochemically the tumor cells were positive for calretinin and CK5/6 and negative for BER-EP4 and BRST3 in both cases. The reported cases of primary MM from spermatic cord in English literature were briefly reviewed.http://www.pagepress.org/journals/index.php/rt/article/view/4352malignant mesothelioma, spermatic cord
spellingShingle Xianmin Meng
Thomas J. Guzzo
Zhanyong Bing
Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
Rare Tumors
malignant mesothelioma, spermatic cord
title Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
title_full Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
title_fullStr Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
title_full_unstemmed Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
title_short Malignant mesotheliomas in spermatic cords: reports of two cases and a brief review of literature
title_sort malignant mesotheliomas in spermatic cords reports of two cases and a brief review of literature
topic malignant mesothelioma, spermatic cord
url http://www.pagepress.org/journals/index.php/rt/article/view/4352
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AT zhanyongbing malignantmesotheliomasinspermaticcordsreportsoftwocasesandabriefreviewofliterature