Epididimde inflamatuar psödotümör: Bir olgu sunumu

Özet: İnflamatuar psödotümör ya da diğer adıyla fibröz psödotümör parankimatöz, organların myofibrohistiyositik proliferasyonlarıdır. Nadiren paratestiküler bölgede lokalize olup çok daha nadir olguda ise epididimisden orijin alır. Olgu Sunumu: Otuzdokuz yaşındaki erkek hasta, skrotumunda sol tarafta ağrısız 3 yıldan beri zamanla giderek büyüyen şişlik nedeniyle başvurdu. Yapılan tıbbi tedavilere rağmen şişlikte küçülme olmadı. Klinik ve radyolojik olarak tümöral kitle düşünülüp hastaya cerrahi tedavi planlandı ve epididimektomi yapıldı. Kitlenin histopatolojik ve immünohistokimyasal incelenmesi sonucunda inflamatuar psödotümör olduğu saptandı. Sonuç: Olgu; klinik ve radyolojik olarak malign tümör izlenimi vermesi ancak histopatolojik incelemede benign olması ve epididimde çok nadir olarak görülmesiyle ve ayırıcı tanı özellikleri nedeniyle sunuldu.

Anahtar Kelimeler:

Tanı, Erkek, Granülom, plazma hücreli, Epididimis, Erişkin

Inflammatory pseudotumor in epididymis: A case report

Objective: Inflammatory pseudotumor, in other words, fibrous pseudotumor is the myofibrohistiocytic proliferation of parenchymal organs. It is rarely localized in paratesticular region. Case report: A male patient aged 39 yrs realized a painless swelling which showed a gradual course within three years in left side scrotum. There was no improvement despite medical treatments. Clinically and radiologically, thinking it as tumoral mass, surgical treatment was planned and epididymectomy was performed. At the end of histopathologic and immunohistochemical examination of the mass it was determined as a inflammatory pseudotumor. Conclusion: The case is reported because of following reasons: whereas it seemed to be a malign tumor as clinically and radiologically, it turned to be benign in histopathologic examination, rare existence in epididymis and distinctive diagnosis characteristics.

Keywords:

Diagnosis, Male, Granuloma, Plasma Cell, Epididymis, Adult,

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