Jasser  Maatougui,Mehdi  Raboudi,Tarek  Taktak,Issam  Msakni, Ramzi  Khiari,Samir  Ghozzi,
Malignant Mesothelioma of the Epididymis: A Case Report of a Rare Paratesticular Neoplasm and Literature Review
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.12.16
https://www.sciencerepository.org/malignant-mesothelioma-of-the-epididymis-a-case-report-of_SCR-2020-12-116 
Abstract: Background: Malignant mesothelioma of the epididymis is an extremely rare neoplasm with a poor
prognosis and high potential of recurrence.
Case Presentation: We report a case of a 28-year-old male with a left painless epididymal nodule. Scrotal
ultrasound revealed a nodular mass with mixed echogenicity and Doppler showed increased vascularity.
Radical orchidectomy was performed. Histopathological examination concluded to a malignant
mesothelioma involving the epididymis. Metastatic workup was negative. The patient has undergone a
regular follow-up and has been disease-free within 6 months.
Conclusion: Malignant mesothelium of the epididymis is a diagnosis challenge. Surgery remains the main
treatment. A multidisciplinary management should be offered in those cases.
Keywords: Tumor, malignant, paratesticular, testis