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Fibrous pseudotumor is a non-neoplastic fibroproliferative process that may involve testicular tunics, epididymis, and the spermatic cord. It has been referred to by a variety of names including - chronic periorchitis, nodular periorchitis, inflammatory pseudotumor, and proliferative funiculitis.
Clinically, it mimics testicular and paratesticular neoplasms. The patient usually presents with a firm testicular mass, often accompanied by a hydrocele. A history of testicular trauma or epididymo-orchitis is present in about a third of cases. This specimen shows indurated plaque-like areas and multiple nodules ranging in size from less than 0.5 cm to more than 1.5 cm attached to the tunica.
Clinically, it mimics testicular and paratesticular neoplasms. The patient usually presents with a firm testicular mass, often accompanied by a hydrocele. A history of testicular trauma or epididymo-orchitis is present in about a third of cases. This specimen shows indurated plaque-like areas and multiple nodules ranging in size from less than 0.5 cm to more than 1.5 cm attached to the tunica.