British Journal of Urology

Our medical research library holds 9 studies published in British Journal of Urology (1954–1995). Each entry links to the study's record on PubMed and, where there is one, to the publisher's page and a free full text. 2 have an abstract, the authors' own summary as PubMed records it: open "Abstract" to read it. For 5 studies PubMed has no abstract for, we give the abstract printed in the article or, where there is none, a summary we wrote from it, each labeled as such.

About the journal

• Publisher: Blackwell Science
• Published: 1929–1998, England
• Language: English
• ISSN: 0007-1331 (print)
• Continued by: BJU International
• Its record in the NLM Catalog

1990s

• Mesothelioma of the tunica vaginalis testis with possible occupational asbestos exposure. M. Huncharek, M. Klassen, D. Christiani. 1995;75(5):679-80. Case report PubMed · Publisher

  Summary

  The authors reported a case of malignant mesothelioma of the tunica vaginalis testis, the membrane around the testis, in a man with possible occupational asbestos exposure. A 45-year-old white man who had worked in an electrical power plant developed a painless mass in the right testicle. He was first treated for presumed epididymitis, but the mass did not shrink over 2 weeks. Ultrasound confirmed a solid mass, and blood levels of the tumour markers AFP and HCG were normal. A biopsy was first reported as an 'adenomatoid tumour', but a second pathologist raised the possibility of malignant mesothelioma. Review at Massachusetts General Hospital confirmed malignant mesothelioma of the epithelial subtype. The right testis was removed through the groin. The tumour involved the cremasteric muscle and the lower spermatic cord. All margins were free of tumour, and no vascular or lymphatic invasion was seen. CT and lymphangiography showed no spread. Follow-up examinations and tumour marker tests showed no recurrence over 12 years. The patient reported exposure to asbestos in insulation materials, but this could not be further documented. The authors noted that about 40 such cases had been reported since 1957, some with asbestos exposure and latent periods of 8 to 40 years. They concluded that scrotal masses need careful and prompt evaluation, and that this tumour should be considered particularly in patients with known asbestos exposure.

  PubMed has no abstract for this study, and the article doesn't print one. We wrote this summary from the full article with the help of AI. It is not the authors' wording.

• Biphasic malignant mesothelioma of the tunica vaginalis testis. K.C. Saw, T.H. Barker, K.H. Khalil, et al. 1994;74(3):381-2. Case report PubMed · Publisher

  Summary

  This case report from the Departments of Urology and Histopathology at the Norfolk and Norwich Hospital, Norwich, UK, described a malignant mesothelioma of the tunica vaginalis testis. A 63-year-old man presented with a left hydrocele that extended up the spermatic cord and transilluminated poorly. The testis was explored through an inguinal incision and was removed because the tunica was studded with white nodules. Histological examination showed a biphasic malignant mesothelioma, with some areas showing osteoid and cartilaginous differentiation. His chest X-ray was normal. Later enquiries found that he had been exposed to asbestos 20 years earlier for a period of 7 years. There was no evidence of recurrence at 6-month follow-up. In their comment, the authors noted that this tumour is rare and may present as a scrotal hydrocele. Eleven cases, including this one, had been reported in the English literature in addition to 37 cases reviewed by Carp et al. They stated that asbestos exposure has been implicated as a risk factor. They believed this was the first description of osteoid and cartilaginous differentiation in a mesothelioma of the tunica vaginalis. They also reported that adjuvant chemotherapy and radiotherapy had proved ineffective. If the scrotum has been violated, the hemiscrotum and inguinal lymph nodes should be excised. An aggressive surgical approach had been unsuccessful in one previously reported patient.

  PubMed has no abstract for this study, and the article doesn't print one. We wrote this summary from the full article with the help of AI. It is not the authors' wording.

• Mesothelioma of the tunica vaginalis of the testis. J.G. Noble, A. Watkins, M.E. Chappell, et al. 1992;70(3):328-9. Case report PubMed · Publisher

  Summary

  This case report from the Departments of Surgery and Histopathology at Southend General Hospital, Southend on Sea, England, described malignant mesothelioma of the tunica vaginalis of the testis. A 62-year-old man presented with a 3-month history of a painless swelling on the left side of the scrotum. He had had surgery for a left-sided hydrocele 9 years earlier. Clinical examination and ultrasound showed a hydrocele with a normal-feeling testis. At operation through a scrotal incision, the tunica vaginalis was thickened, with multiple papillary nodules on its parietal surface. An area was removed for histology and the hydrocele was excised. Microscopy showed a cellular papillary lesion with nuclear pleomorphism, frequent mitoses and little stroma, characteristic of malignant mesothelioma. Immunoperoxidase staining for prostatic specific antigen and other carcinoma markers was negative. The patient then underwent left orchiectomy through an inguinal approach, with wide excision of the left hemiscrotum. The authors noted that tumours of the tunica vaginalis are very rare, that peak presentation is in the seventh decade, and that a hydrocele is the most common presenting feature, which makes diagnosis before surgery difficult. They concluded that all patients presenting with a hydrocele need careful evaluation so that this potentially serious condition can be treated without delay. The report did not mention asbestos exposure.

  PubMed has no abstract for this study, and the article doesn't print one. We wrote this summary from the full article with the help of AI. It is not the authors' wording.

1970s

• Adenomatoid tumour of the epididymis: histochemical and ultrastructural study of 2 cases. M. Nistal, F. Contreras, R. Paniagua. 1978;50(2):121-5. Case report PubMed · Publisher

  Abstract

  Two cases of adenomatoid tumour of the epididymis are described. Both the histochemical and ultrastructural studied support the concept that it is of mesothelial origin. The histochemical study showed the presence of acid mucopolysaccharides in the lumen of the tubular structures. The epithelial cells presented numerous microvilli in the free surface, junction complexes, wide intercellular channels and a well-developed Golgi complex. Abundant bundles of microfilaments and intracellular spaces were observed in the cytoplasm. Lymphocytes and histiocytes were identified both in the tubular lumen and between the epithelial cells. The stroma of the tumour was made up of dense connective tissue with abundant bundles of elastic fibres. The presence of intracytoplasmic spaces in the epithelial cells and elastic fibres in the stroma had not been previously observed in this tumour.

• Neoplasms of tunica vaginalis. A.P. Sinha. 1978;50(6):424. Case report PubMed · Publisher

• Nephrogenic adenoma: a form of adenomatous metaplasia of the bladder. A clinical and electron microscopical study. E.A. Molland, P.A. Trott, A.M. Paris, et al. 1976;48(6):453-62. Case report PubMed · Publisher

  Abstract

  3 additional cases of "nephrogenic adenoma" of the bladder are added to the 20 previously reported cases. Light and electron microscopic studies of the first 2 cases support the hypothesis of urothelial metaplasia. The name "adenomatous metaplasia" should replace "nephrogenic adenoma". Malignant change occurred in the third case, suggesting that this ought to be regarded as a potentially dangerous from of metaplasia. In the absence of malignant change, ileocaecocystoplasty with subtotal cystectomy afforded symptomatic cure in 2 cases: radical cystectomy was performed in the third because of malignant adenocarcinoma.

• Malignant mesothelioma of the testicular tunica vaginalis. J. Fishelovitch, D. Meiraz, Z. Keinan, et al. 1975;47(2):208. Case report PubMed · Publisher

  Summary

  This short case report, from Beilinson Medical Center, Petah Tikva, Israel, described a 60-year-old man admitted for hydrocoelectomy because of a swelling on the left side of the scrotum. The swelling was non-tender and positive to trans-illumination. Examination showed no abnormality elsewhere, and haemogram, blood chemistry, chest X-ray and intravenous pyelography were within normal limits. At operation the testis and epididymis appeared normal, but the surface of the tunica vaginalis was covered with reddish vegetations, which proved malignant. A left orchioepididymectomy was performed. On pathological examination the tunica vaginalis was 1.3 cm thick and contained a mainly papillary, occasionally solid and alveolar tumour that invaded the connective tissue underlying the mesothelium. Malignant mesothelioma arising from the tunica vaginalis was diagnosed. Two weeks later, lymphangiography showed filling defects in enlarged para-aortic lymph nodes, and a lymph node removed at laparotomy contained metastasis of the tumour. The patient received a total of 5,000 rads of radiotherapy to the inguinal, para-aortic, mediastinal and left supraclavicular regions. At follow-up one year later he was in good health, with normal chest X-rays, bone survey and liver scan. The authors commented that papillary tumours may arise from the serous membrane of the tunica vaginalis and that, although uncommon, about 15% are malignant. The report did not mention asbestos or the patient's exposure history.

  PubMed has no abstract for this study, and the article doesn't print one. We wrote this summary from the full article with the help of AI. It is not the authors' wording.

1960s

• Paratesticular tumours. G. Williams, R. Banerjee. 1969;41(3):332-9. PubMed · Publisher

  Abstract

  One hundred and fourteen cases of paratesticular tumour are reviewed. The young patient with a rapidly growing tumour usually has a rhabdomyosarcoma, many of which have already metastasised at the time of presentation. Of the other malignant paratesticular tumours approximately 25 per cent. are manifestations of generalised malignant disease and are often metastases. The presence of a hydrocele in association with a paratesticular tumour is usually an indication that the tumour is malignant. In patients where the history and clinical findings are indicative of an adenomatoid tumour, there may well be a place for local excision of the tumour.

  PubMed has no abstract for this study. This is the authors' abstract, copied from the article.

1950s

• Cystic lymphangioma: an uncommon type of scrotal swelling. G. Ferguson. 1954;26(3):264-5. PubMed · Publisher

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