Malignant Mesothelioma of the Spermatic Cord: Case Report and Review of the Literature

Paratesticular malignant mesothelioma is a rare tumor, previously reported in only 76 cases. Most of these lesions originate from the tunica vaginalis, and few cases arise from the epididymis or spermatic cord. Middle-aged men are most often affected, although an age range of 7 of 84 years has been reported in patients with paratesticular malignant mesothelioma.(1) As in benign mesothelial lesions, malignant mesothelioma almost always manifests with hydrocele,(4,5) fluid collection of which occurs faster, leading to symptomatic disease in less than 1 year. In 41% of cases, a history of contact with asbestos has been documented.(2,3) We report a case of malignant mesothelioma of the spermatic cord in a 52-year-old man.