Urology Case Reports (Sep 2019)

Characterizing high-grade serous papillary carcinoma of tunica vaginalis

  • Liang G. Qu,
  • Jiasian Teh,
  • Catherine Mitchell,
  • David E. Gyorki,
  • Rodney J. Hicks,
  • Declan G. Murphy

Journal volume & issue
Vol. 26

Abstract

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Serous carcinomas of the testis or para-testis are extremely rare tumors of Mullerian type. We report a case of high-grade serous papillary carcinoma of the tunica vaginalis, treated with radical orchiectomy and hemi-scrotectomy after being referred for a rapidly growing painless scrotal mass. In addition to negative testicular tumor markers, scrotal ultrasound, and conventional computerized tomography (CT) scanning, this patient's workup included a positron emission tomography (PET) scan using F-18-fluoro-deoxyglucose (FDG), demonstrating metabolically avid uptake of the disease. This patient is completing ongoing close follow up and is currently disease free at nine months post definitive treatment. Keywords: Tunica vaginalis, Serous carcinoma, FDG-PET, Testicular cancer