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A 93-year-old man with chronic hydrocele and no history of asbestos exposure underwent a hydrocelectomy, which revealed several nodules in the tunica vaginalis. The histopathological diagnosis was malignant mesothelioma, requiring a second procedure. A radical inguinal orchiectomy with hemiscrotectomy was performed, reporting tumor-free surgical margins; therefore, no adjuvant treatments were given. Three months postoperative, the patient continued asymptomatic, scrotal examination was normal, and control CT scan showed no evidence of lymphatic disease or metastases..
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Ruiz Hernández M (2016) studied this question.
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