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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2016; 06(03): 58-60
DOI: 10.1055/s-0040-1708665
Case Report

Paratesticular Hamartoma in an Infant

Amol Dilip Amonkar
1   Postgraduate, Department of Surgery, Justice K.S. Hegde Charitable Super-specialty Hospital, NITTE University, Mangalore
,
Raghu Shankar
2   Associate Professor, Department of Pediatric Surgery, Justice K.S. Hegde Charitable Super-specialty Hospital, NITTE University, Mangalore
,
Padma Shetty
3   Professor, Department of Pathology, Justice K.S. Hegde Medical College, Mangalore, Karnataka
,
Sandeep Rai
4   Professor and Head, Department of Pediatric Surgery, Justice K.S. Hegde Charitable Super-specialty Hospital, NITTE University, Mangalore
,
Mohammad Amir
5   Undergraduate, Department of Surgery, Justice K.S. Hegde Charitable Super-specialty Hospital, NITTE University, Mangalore
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Abstract

The benign paratesticular solid lesions havemore often been post-operative histological surprises. We report a rare case of hamartoma of paratesticular region. On inguinal exploration, lesion looked benign and it could be excised completely without opening the tunica. The mass haddisorganised mature tissue consisting of lipocytes, thick walled blood vessels, lymphoid follicles, nerve bundles and smooth muscle tissue, without neoplastic characteristics'. Any suspicious paratesticular lesion warrants an inguinal approach, as we did in our case, to prevent upstaging of the disease incase found to be malignant. However, since benign masses are more common a testicular sparing surgery is possible in a majority of cases.

Keywords

paratesticularhamartoma - benign paratesticular lesion - inguinal exploration


Publication History

Received: 22 September 2015

Accepted: 06 August 2016

Article published online:
22 April 2020

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  • References

  • 1 Lioe TF, Biggart JD. Tumors of the spermatic cord and paratesticular tissue. A clinicopathological study. Br J Urol 1993;71: 600-606
  • 2 Sugita Y, Clarnette TD, Cooke-Yarborough C, et al. Testicular and paratesticular tumours in children: 30 years' experience. Aust N Z J Surg 1999;69:505-508.
  • 3 Metcalfe PD, Farivar-Mohseni H, Farhat W, et al. Pediatric testicular tumors: contemporary incidence and efficacy of testicular preserving surgery. J Urol 2003;170:2412-2415 [discussion 2415-6].
  • 4 Murphy F L, LawH, MushtaqI, Sebire N J. Testicular and paratesticular pathology in infants and children: the histopathological experience of a tertiary paediatric unit over a 17 year period. PediatrSurgInt 2007;23:867-872
  • 5 Wang X, XuS, Tang D, Li M, Wu D, Huang Y. Prepubertal testicular and paratesticular tumors in China:a single-center experience over a 10-year period. J PediatrSurg 2012; 47: 1576–1580
  • 6 Eduardo R, Patricio P, Luzia T, María F, Silvia C, Roberto L. Unusual Benign Paratest i cular tumor in an infant mimi cking Rhabdomyosarcoma. Urology 2008; 71: 1067–1069.
  • 7 Sengar M, Mohta A, Manchanda V, Khurana N. Paratesticular fibrous hamartoma in an infant. Singapore Med J 2012; 53:e64
  • 8 Sung T, Riedlinger W, Diamond D, et al. Solid extratesticular masses in children: radiographic and pathologic correlation. Am J Roentgenol 2006;186:483-490.
  • 9 Maitra A. Diseases of Infancy and Childhood In: Kumar V, Abbas AK, FaustoN, Aster JC (Editors). Robbins and Cotran Pathologic Basis of Disease. Eighth edition; Elsevier Saunders;2010:473.