An unusual case of malignant mesothelioma mimicking as Fournier’s gangrene

Authors

  • Geoffrey E. Sundar Department of Pathology, K. S. Hegde Medical Academy of Nitte, Mangalore, Karnataka, India
  • Kishan Prasad Hosapatna Laxminarayana Department of Pathology, K. S. Hegde Medical Academy of Nitte, Mangalore, Karnataka, India
  • Jayaprakash Kubalady Shetty Department of Pathology, K. S. Hegde Medical Academy of Nitte, Mangalore, Karnataka, India
  • Lancelot Lobo Department of General Surgery, K. S. Hegde Medical Academy of Nitte, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20210454

Keywords:

Fournier’s gangrene, Malignant mesothelioma, Histopathology, Immunohistochemistry

Abstract

Fournier gangrene is a rare, life-threatening necrotizing fasciitis that usually involves the perineal or genital areas. Malignant mesothelioma in the inguinal and paratesticular region is a very rare entity and manifesting as Fournier’s gangrene is still rare. Here we present a case of malignant mesothelioma which presented clinically as Fournier’s gangrene.  

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References

Sorensen MD, Krieger JN, Rivara FP, Broghammer JA, Klein MB, Mack CD, et al. Fournier's Gangrene: population based epidemiology and outcomes. J Urol. 2009;181(5):2120-6.

Morpurgo E, Galandiuk S. Fournier’s gangrene. Surg Clin North Am. 2002;82:1213-24.

Eke N. Fournier’s gangrene: a review of 1726 cases. Br J Surg. 2000;87:718- 28.

Murai Y: Malignant mesothelioma in Japan: analysis of registered autopsy cases. Arch Environ Health 2001;56(1):84-8.

Gurdal M, Erol A. Malignant mesothelioma of tunica vaginalis testis associated with long-lasting hydrocele: could hydrocele be an etiological factor? Int Urol Nephrol. 2001;32(4):687-9.

Bisceglia M, Dor DB, Carosi I. Paratesticular mesothelioma. Report of a case with comprehensive review of literature. Adv Anat Pathol 2010;17(1): 53–70.

Fournier JA, Jean-Alfred Fournier 1832-1914. Gangrene foudroyante de la verge (overwhelming gangrene). Sem Med 1883. Dis Colon Rectum. 1988;31:984-8.

Shimada S, Ono K, Suzuki Y, Mori N: Malignant mesothelioma of the tunica vaginalis testis: a case with a predominant sarcomatous component. Pathol Int 2004;54(12):930-4.

Gaudin PB, Epstein JI. Diseases of the spermatic cord and paratesticular tissue. In: Murphy WM, editor. Urological pathology. 2nd ed. Philadelphia, Pa: WB Saunders Co. 1997:242–76.

Plas E, Riedl CR, Pfluger E. Malignant mesothelioma of the tunica vaginalis testis. Review of the literature and assessment of prognostic parameters. Cancer. 1998;83:2437–46.

Khoubehi B, Mishra V, Ali M, Motiwala H, Karim O: Adult paratesticular tumours. BJU Int 2002;90:707-13.

Bruno C, Minniti S, Procacci C. Diagnosis of malignant mesothelioma of the tunica vaginalis testis by ultrasound- guided fine-needle aspiration. J Clin Ultrasound. 2002;30(3):181–3.

Lloreta-Trull J. Extrathoracic mesothelial proliferations and their mimics. Ultrastruct Pathol 2006;30(1):37–51.

Eimoto T, Inoue I. Malignant fibrous mesothelioma of the tunica vaginalis: a histologic and ultrastructural study. Cancer. 1977;39:2059–66.

Ordóñez NG. The immunohistochemical diagnosis of mesothelioma: a comparative study of epithelioid mesothelioma and lung adenocarcinoma. Am J Surg Pathol 2003;27:1031–51.

Mann AJ, Reinoso DB, Genuit T, Jimenez J. Fournier’s Gangrene in the Setting of Underlying Carcinoma: A Case Report and Review of the Literature. Cureus 2020;12(9):e10317.

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Published

2021-01-29

How to Cite

Sundar, G. E., Laxminarayana, K. P. H., Shetty, J. K., & Lobo, L. (2021). An unusual case of malignant mesothelioma mimicking as Fournier’s gangrene. International Journal of Research in Medical Sciences, 9(2), 620–622. https://doi.org/10.18203/2320-6012.ijrms20210454

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Section

Case Reports