Malignant mesothelioma of the tunica vaginalis testis

A case of malignant mesothelioma of the tunica vaginalis testis is reported in a 77-year-old male patient. There was no history of asbestos exposure, Recurrent right hydrocele with a papillar inguinal mass was the main clinic al feature, An inguinal radical orchiectomy with en bloc resection of the s urrounding tissue was performed, The therapeutic options for this rare, but aggressive neoplasm are discussed, Because of the disappointing results of antineoplastic chemotherapy or radiation therapy, the importance of initia l radical surgical treatment with complete excision is emphasized.