Table 1 Clinical and pathological features of all known cases of PPAS
Case | Age (years) | Diagnosis | Presentation | Investigations | Macroscopic features of testicular lesion | ||||
|---|---|---|---|---|---|---|---|---|---|
Symptoms (duration) | Patient noticed lump? (duration) | Bloods | Testicular ultrasound | Site | Appearance | Size (mm) | |||
Current case | 56 | PPAS | Testicular pain, swelling, redness (4 days) | No | Normal | Two lesions Heterogenous, hypoechoic, some cysts, no vascularity | Parenchyma, rete testis, tunica | A: cream-coloured, Solid B: Haemorrhagic, infiltrative | A: 17 × 17 × 19 B: 20 × 20 × 20 |
Piotrowski et al. [19] | 58 | PPAS | Hip pain, back pain (3 months) | No | Normal | Two lesions | A: Parenchyma, epididymis B: Spermatic cord | N/A | A: 120 × 68 × 68 B: 35 × 24 × 20 |
Jain et al. [18] | 63 | PPAS | Testicular enlargement (8 months), preceding testicular firmness (10 years) | Yes (10 years) | Normal | Solid lesion | Parenchyma replaced by tumour | Haemorrhagic, necrotic, focal solid white | 110 × 80 × 70 |
Armah et al. [17] | 80 | PPAS | Painless lump (2Â months), hydrocoele (7Â years) | Yes (2Â months) | N/A | N/A | Parenchyma, epididymis | Haemorrhagic, solid | 30 |
Mašera et al. [16] | 74 | PPAS, epithelioid | Fever unknown cause (3 weeks) | No | CRP↑ ESR↑ | Transonic, vascularity | Parenchyma | Haemorrhagic, brown-white, infiltrative | 17 |