Cholesterol granuloma of hydrocele sac mimicking testicular tumour
Keywords:
Cholesterol granuloma, Tunica vaginalis, Hydrocele
Abstract
Cholesterol granuloma is a rare inflammatory granulation tissue that occurs in response to the deposition of cholesterol crystals. It is found most commonly in the paranasal sinuses or temporal bones, but there are also rare reports of their occurrence in other sites also. Here we report a rare case of cholesterol granuloma of hydrocele sac in a 59 year old man who presented with non tender right scrotal swelling. Patient was operated for vaginal hydrocele which on histopathological examination revealed cholesterol granuloma which is very rare in these sites. It can be very difficult to preoperatively distinguish testicular tumours from cholesterol granulomas of the testis or epididymis. Therefore, cholesterol granuloma should be kept in mind in patients with large and non-tender scrotal masses. DOI: 10.21276/APALM.1088References
1. Lam CY, Lin CM, Tsai SW, et al. Cholesterol granuloma of the epididymis mimicking a paratesticular tumor. JTUA 2009; 20: 89-91.
2. Luckraz H, Coulston J, Azzu A. Cholesterol granuloma of the superior mediastinum. Ann Thorac Surg 2006; 81: 1509–10.
3. Fujimoto K, Takamori S, Yano H, Sadohara J, Matsuo T, Terazaki Y, et al. Focal cholesterol granuloma in the anterior mediastinum. J Thorac Oncol 2007; 2: 1054–6.
4. Gore M, Zanation A, Ebert C, Senior B. Cholesterol granuloma of the petrous apex. Otolaryngol Clin North Am 2011; 44: 1043–58.
5. Nikolaidis V, Malliari H, Psifidis D, Metaxas S. Cholesterol granuloma presenting as a mass obstructing the external ear canal. BMC Ear Nose Throat Disord 2010; 10: 4.
6. Manasse P. Ueber Granulationsgeshwulst mit Fremdkoerriesenzellen. Virchows Arch 1894; 136: 245
7. Leon M, Chavez C, Fyfe B, Nagorsky M, Garcia F. Cholesterol granuloma of the maxillary sinus. Arch Pathol Lab Med. 2002; 126: 217–9.
8. Nistal M, Mate A, Paniagua R. Granulomatous epididymal lesion of possible ischemic origin. Am J Surg Pathol 1997; 21: 951-6.
9. Spajic B, Cupic H, Stimac G, et al. Cholesterol granuloma of the right epididymis mimicking an acute scrotum. Asian J Androl 2006; 8: 749-50
10. Fariña Pérez LA, Menéndez P, Macho V. Hydrocele and cholesterol granuloma of the tunica vaginalis simulating a tumor in echography. Actas Urol Esp. 1998 Jan; 22(1): 70-3.
11. Lin JI, Tseng CH, Marsidi PJ, Bais VC. Cholesterol granuloma of right testis; Urology 1979 ; 14(5): 522–523
12. Lowenthal SB, Goldstein AMB, Terry R. Cholesterol granuloma of tunica vaginalis simulating testicular tumor.Urology July 1981; 18(1): 89–90
2. Luckraz H, Coulston J, Azzu A. Cholesterol granuloma of the superior mediastinum. Ann Thorac Surg 2006; 81: 1509–10.
3. Fujimoto K, Takamori S, Yano H, Sadohara J, Matsuo T, Terazaki Y, et al. Focal cholesterol granuloma in the anterior mediastinum. J Thorac Oncol 2007; 2: 1054–6.
4. Gore M, Zanation A, Ebert C, Senior B. Cholesterol granuloma of the petrous apex. Otolaryngol Clin North Am 2011; 44: 1043–58.
5. Nikolaidis V, Malliari H, Psifidis D, Metaxas S. Cholesterol granuloma presenting as a mass obstructing the external ear canal. BMC Ear Nose Throat Disord 2010; 10: 4.
6. Manasse P. Ueber Granulationsgeshwulst mit Fremdkoerriesenzellen. Virchows Arch 1894; 136: 245
7. Leon M, Chavez C, Fyfe B, Nagorsky M, Garcia F. Cholesterol granuloma of the maxillary sinus. Arch Pathol Lab Med. 2002; 126: 217–9.
8. Nistal M, Mate A, Paniagua R. Granulomatous epididymal lesion of possible ischemic origin. Am J Surg Pathol 1997; 21: 951-6.
9. Spajic B, Cupic H, Stimac G, et al. Cholesterol granuloma of the right epididymis mimicking an acute scrotum. Asian J Androl 2006; 8: 749-50
10. Fariña Pérez LA, Menéndez P, Macho V. Hydrocele and cholesterol granuloma of the tunica vaginalis simulating a tumor in echography. Actas Urol Esp. 1998 Jan; 22(1): 70-3.
11. Lin JI, Tseng CH, Marsidi PJ, Bais VC. Cholesterol granuloma of right testis; Urology 1979 ; 14(5): 522–523
12. Lowenthal SB, Goldstein AMB, Terry R. Cholesterol granuloma of tunica vaginalis simulating testicular tumor.Urology July 1981; 18(1): 89–90
Published
2017-03-28
Issue
Section
Case Report
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