Mucinous adenoid tumor of the paratesticular tissue

Our plain-English summary of Mucinous adenoid tumor of the paratesticular tissue, by M.G. Mukerjee, M. Norris, D.P. Strum, et al (The Journal of Urology, 1976).

The study

• Authors: M.G. Mukerjee, M. Norris, D.P. Strum, B.T. Mittemeyer, A.A. Borski
• Journal: The Journal of Urology
• Published: 1976;115(4):472-3
• Type of article: Case report
• Cited by: 8 articles, as counted by NIH iCite
• Read it: PubMed · Publisher

Abstract

An unusual case of a primary mucinous adenoid tumor of the paratesticular area is reported.

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

In plain English

This article was a case report from the Urology Service at Walter Reed Army Medical Center in Washington, D.C. It described one 54-year-old man who had a dull ache and a slow-growing mass on the right side of the scrotum for 6 to 7 months. The article does not mention asbestos. A firm mass about 1.3 cm across arose from the upper pole of the right testis. A frozen section taken during surgery appeared to show adenocarcinoma. The right testis and epididymis, half of the scrotum, and the rest of the right spermatic cord were removed. An extensive search for a cancer elsewhere in the body found nothing. Under the microscope, the tumor had invaded its capsule without breaking through it. The authors wrote that the tumor's chemical staining was not fully compatible with true mesothelioma and that its appearance was atypical for mesothelioma. Special stains ruled out carcinoid. The authors concluded that, because no spread could be documented, the tumor's true malignant potential was unknown. They named it a mucinous adenoid tumor of the paratesticular area.

We wrote this plain-English summary from the full article with the help of AI, and a second AI model checked each sentence against the article. It is not the authors' wording; the abstract and the article are their own account.

What the study did and found

• Design: case report (single patient)
• Who was studied: One 54-year-old white man on long-term thorazine for schizophrenia, treated at the Urology Service, Walter Reed Army Medical Center, Washington, D.C. The date of treatment is not given; the article was accepted in September 1975.
• Exposure: No asbestos exposure is described. The history noted exposure to an open case of tuberculosis as a teenager, mild prostatism, and long-term thorazine use.
• Main results:
  • At surgery, a firm solid mass about 1.3 cm in diameter arose from the superior pole of the right testis and compressed the globus major (the head of the epididymis).
  • A frozen section appeared to show adenocarcinoma. The patient then underwent a right hemiscrotectomy with high inguinal ligation and removal of the right spermatic cord remnant.
  • An extensive search for a primary tumor elsewhere, using scans, x-rays and other studies, found nothing abnormal.
  • Under the microscope, the tumor had invaded its capsule but had not penetrated it.
  • The authors wrote that the tumor's chemical reactions were not fully compatible with true mesothelioma, which produces hyaluronic acid rather than epithelial mucin, and that its histology was atypical for mesothelioma.
• The authors' conclusion: The authors concluded that moderate pleomorphism (variation in cell appearance) and capsule invasion suggested malignant potential. However, no metastatic disease was documented, so the true malignant potential is unknown. For that reason they considered the descriptive term 'mucinous adenoid tumor of the paratesticular area' appropriate for the present time.

Topics

The National Library of Medicine indexes this study under subjects our site covers: Mesothelioma.

Medical terms in this study, explained in our Lexicon: Paratesticular.

Related studies

• Paratesticular tumors. A clinicopathological study from a single tertiary hospital in North India — P.A.M. Paul, N. Calton, et al. (2021)
• Paratesticular mesotheliomas — R.E. McDonald, A.L. Sago, et al. (1983)
• Assessing Tumor-Infiltrating Lymphocytes in Solid Tumors: A Practical Review for Pathologists and Proposal for a Standardized Method from the International Immuno-Oncology Biomarkers Working Group: Part 2: TILs in Melanoma, Gastrointestinal Tract Carcinomas, Non-Small Cell Lung Carcinoma and Mesothelioma, Endometrial and Ovarian Carcinomas, Squamous Cell Carcinoma of the Head and Neck, Genitourinary Carcinomas, and Primary Brain Tumors — S. Hendry, R. Salgado, et al. (2017)
• Tumors of the spermatic cord: a review of the literature and a report of a case of lymphangioma — A.A. el-Badawi, M.M. al-Ghorab (1965)
• Sonography of intrascrotal adenomatoid tumor — W.C. Leonhardt, G.A. Gooding (1992)
• Benign cystic peritoneal mesothelioma incorrectly diagnosed as an ovarian borderline mucinous tumor of intestinal type at transvaginal preoperative ultrasound evaluation — A.C. Testa, G.F. Zannoni, et al. (2011)

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