Malignant fibrous histiocytoma of the epididymis - Case report and review of the literature

A 54-year-old patient was found to have a painless ca. 1.5 cm diameter tumo r in the region of the right epipidymis. The right testis was exposed from a scrotal incision. The final pathology surprisingly showed malignant fibro us histiocytoma (MFH) of the epipidymis and the patient subsequently underw ent radical inguinal orchiectomy. Complete metastatic screening was normal. Postoperatively, 60 Gy external beam radiation was administered. At the le ast follow-up (6 years), there were no recurrences or metastases. MFH is an extremely rare, highly malignant connective tissue tumor, which may, occas ionally, affect the male genital tract. There are no agreed treatment princ iples. The overall prognosis is poor.