REPORT OF A CASE
A 38-year-old man presented to his dermatologist with two pink-to-purple nodules of 5 months' duration that were along a surgical scar on his right thigh. The patient's history included a left testicular mesothelioma diagnosed 12 years earlier at orchiectomy and multiple surgeries for the same tumor, including a lymph node metastasis in the right inguinal region at the site of the current lesions.On physical examination, two shiny nodules were found at the margins of a surgical scar on the patient's right thigh (Figure 1). The lesions were excised under local anesthesia and examined histologically. Representative areas are shown in Figures 2 through 4.What is your diagnosis?
Figure 1
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Figure n2
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Fingure 3
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Figure 4
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Purpuric Nodules Along a Surgical Sca
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DIAGNOSIS: Metastatic malignant mesothelioma of the tunica vaginalis testis.
HISTOPATHOLOGIC FINDINGS
A multilobular papillary proliferation was found in the dermis and subcutaneous tissues.