000134833 001__ 134833 000134833 005__ 20240503133219.0 000134833 0247_ $$2doi$$a10.53986/ibjm.2024.0007 000134833 0248_ $$2sideral$$a138339 000134833 037__ $$aART-2024-138339 000134833 041__ $$aeng 000134833 100__ $$aEzquerro-Sáenz, Santiago 000134833 245__ $$aTesticular fibroma of gonadal stromal origin in an adult male 000134833 260__ $$c2024 000134833 5060_ $$aAccess copy available to the general public$$fUnrestricted 000134833 5203_ $$aPara-testicular masses are a rare entity, and therefore the diagnosis and management nearly always lead to clinical doubts. Aside from the doubts that arise from these masses being uncommon, it is always necessary to rule out the malignancy process of them. Sexual cord tumors are extremely rare. Testicular fibroma of gonadal stromal origin is a proliferative process that can develop in para-testicular structures. The objective of our study is to present a rare case report of testicular fibroma of gonadal stromal origin as well as the well-documented diagnostic process and the successful therapeutic management that was subsequently carried out. We report a case of a 68-year old male who came in for a consult due to the casual finding of a nodule in his left testicle with normal tumor markers. Ultrasonography showed a nodular image that was well-defined with a diffusely homogeneous echotexture; it was also hypoechoic, vascularized and demonstrated hydrocele. MRI revealed a solid tumor with extrinsic growth to the left testicle and epididymis, and the lesion was relatively hyperintense in T1-weighted image and hypointense in T2. A surgical exeresis of the para-testicular tumor and hydrocelectomy was performed. The pathological anatomy and immunohistochemistry revealed a fibroma of gonadal stromal origin. Histopathological analysis made a diagnosis, although its clinical and radiological characteristics make it one of the differential diagnoses to consider in testicular tumors. Its characteristics, radiological and histopathological, allow for conservative management in clinical practice. 000134833 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000134833 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000134833 700__ $$0(orcid)0000-0003-0178-4567$$aBorque-Fernando, Ángel$$uUniversidad de Zaragoza 000134833 7102_ $$11013$$2817$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Urología 000134833 773__ $$g6, 1 (2024), 33-38$$pIberoam. j. med.$$tIberoamerican Journal of Medicine$$x2695-5075 000134833 8564_ $$s896239$$uhttps://zaguan.unizar.es/record/134833/files/texto_completo.pdf$$yVersión publicada 000134833 8564_ $$s1636746$$uhttps://zaguan.unizar.es/record/134833/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000134833 909CO $$ooai:zaguan.unizar.es:134833$$particulos$$pdriver 000134833 951__ $$a2024-05-03-11:05:58 000134833 980__ $$aARTICLE