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Peer-reviewedCC BYIJU case reports

Organized and Calcified Testicular Hematoma Mimicking a Neoplasm: A Case Report

  • Ahmed Nasir Hanifi1
  • Ahmadullah Hakimi1
  • Murtaza Haidary1,2
  • Muhammad Ishaque Faizee1,3
  • Ahmad Zia Gauhary4
  • Mehmood Shah Rahimi1
  • Haider Ali Malakzai4
  • Ahmed Masih Haidary4
  • Mujtaba Hadiari1
4 affiliations
  1. 1Human Medical Laboratories (HML) and Research Center Kabul Afghanistan.
  2. 2Medical Research and Technology Center Razi University Kabul Afghanistan.
  3. 3Pathology Department Aliabad Teaching Hospital Kabul Afghanistan.
  4. 4Department of Pathology and Clinical Laboratory French Medical Institute for Mothers and Children (FMIC) Kabul Afghanistan.
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Abstract

Background

Calcified intratesticular masses may mimic malignancy. Organized testicular hematomas are rare and may develop fibrosis and dystrophic calcification. Differential diagnoses include regressed ("burned-out") germ cell tumors, cavernous hemangiomas, and paratesticular fibrous pseudotumors (PFP).Case presentation

A 60-year-old man presented with progressive right testicular swelling and dull aching pain. Imaging revealed a 5 × 4 × 4 cm solid, focally calcified intratesticular mass suspicious for neoplasia. Radical inguinal orchiectomy was performed. Histopathological examination revealed dense fibrocollagenous tissue, dystrophic calcification, organized hemorrhage, hemosiderin deposition, cholesterol clefts, hyalinization, and chronic inflammation, without evidence of malignancy.Conclusion

This case highlights a rare organized, calcified testicular hematoma mimicking neoplasia. Histopathological examination is essential for definitive diagnosis. Organized hematoma should be considered when evaluating calcified intratesticular masses with chronic hemorrhagic and fibrotic changes. Regressed germ cell tumors and cavernous hemangiomas are important alternatives, whereas PFP should be considered when paratesticular origin is uncertain.

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Cite

BibTeXRIS
BibTeX
@article{hanifi2026organized,
  title = {{Organized and Calcified Testicular Hematoma Mimicking a Neoplasm: A Case Report}},
  author = {Ahmed Nasir Hanifi and Ahmadullah Hakimi and Murtaza Haidary and Muhammad Ishaque Faizee and Ahmad Zia Gauhary and Mehmood Shah Rahimi and Haider Ali Malakzai and Ahmed Masih Haidary and Mujtaba Hadiari},
  journal = {IJU case reports},
  year = {2026},
  month = oct,
  doi = {10.1002/iju5.70289},
  url = {https://europepmc.org/article/PMC/PMC13717068},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Organized and Calcified Testicular Hematoma Mimicking a Neoplasm: A Case Report
AU  - Ahmed Nasir Hanifi
AU  - Ahmadullah Hakimi
AU  - Murtaza Haidary
AU  - Muhammad Ishaque Faizee
AU  - Ahmad Zia Gauhary
AU  - Mehmood Shah Rahimi
AU  - Haider Ali Malakzai
AU  - Ahmed Masih Haidary
AU  - Mujtaba Hadiari
PY  - 2026
DA  - 2026/10/28
JO  - IJU case reports
DO  - 10.1002/iju5.70289
UR  - https://europepmc.org/article/PMC/PMC13717068
AB  - Background  Calcified intratesticular masses may mimic malignancy. Organized testicular hematomas are rare and may develop fibrosis and dystrophic calcification. Differential diagnoses include regressed ("burned-out") germ cell tumors, cavernous hemangiomas, and paratesticular fibrous pseudotumors (PFP).Case presentation  A 60-year-old man presented with progressive right testicular swelling and dull aching pain. Imaging revealed a 5 × 4 × 4 cm solid, focally calcified intratesticular mass suspicious for neoplasia. Radical inguinal orchiectomy was performed. Histopathological examination revealed dense fibrocollagenous tissue, dystrophic calcification, organized hemorrhage, hemosiderin deposition, cholesterol clefts, hyalinization, and chronic inflammation, without evidence of malignancy.Conclusion  This case highlights a rare organized, calcified testicular hematoma mimicking neoplasia. Histopathological examination is essential for definitive diagnosis. Organized hematoma should be considered when evaluating calcified intratesticular masses with chronic hemorrhagic and fibrotic changes. Regressed germ cell tumors and cavernous hemangiomas are important alternatives, whereas PFP should be considered when paratesticular origin is uncertain.
SN  - 2577-171X
ER  -