RESUMEN
This case report describes a male in his late 40s with a 4 cm pelvic mass compressing the left distal ureter, resulting in left hydroureteronephrosis. Biopsy of the mass was suggestive of a solitary fibrous tumour. The patient underwent a robotic-assisted laparoscopic excision of the left pelvic mass. Intraoperatively, the mass was found to be densely adhered to the ureter, necessitating a left distal ureterectomy and ureteric reimplantation. Subsequent histopathological analysis revealed the mass was a solitary fibrous tumour with no evidence of malignancy.
Asunto(s)
Laparoscopía , Procedimientos Quirúrgicos Robotizados , Tumores Fibrosos Solitarios , Uréter , Obstrucción Ureteral , Humanos , Masculino , Procedimientos Quirúrgicos Robotizados/métodos , Tumores Fibrosos Solitarios/cirugía , Tumores Fibrosos Solitarios/complicaciones , Tumores Fibrosos Solitarios/patología , Tumores Fibrosos Solitarios/diagnóstico por imagen , Laparoscopía/métodos , Uréter/cirugía , Obstrucción Ureteral/cirugía , Obstrucción Ureteral/etiología , Adulto , Neoplasias Pélvicas/cirugía , Neoplasias Pélvicas/complicaciones , Neoplasias Pélvicas/patología , Hidronefrosis/etiología , Hidronefrosis/cirugíaRESUMEN
This report describes a boy in his early adolescence who was referred to a urologist with a large, painless right scrotal mass. Following a thorough workup, the patient underwent surgical removal of the mass, which was revealed to be a paratesticular fibrous pseudotumour (PFP) on histopathological analysis. This diagnosis is rare and can often prove difficult to distinguish from a malignant lesion within the scrotum. We have conducted a review of the current literature surrounding PFP to compliment the case discussion.