# Identification and Management of Testicular Mesothelioma Identified Intraoperatively: A Case Series

## TL;DR

This paper reports two cases of testicular mesothelioma found during routine scrotal surgery, highlighting the need for better diagnostic and management guidelines.

## Contribution

The paper presents two new case reports and advocates for standardized guidelines for testicular mesothelioma management.

## Key findings

- Testicular mesothelioma can be diagnosed intraoperatively during hydrocelectomy.
- Standardized guidelines are needed for the diagnosis and management of this rare malignancy.

## Abstract

Testicular mesothelioma lacks the characteristic presentation of testicular malignancy and often has normal biomarkers at the time of diagnosis causing this malignancy to be overlooked and diagnosed intraoperatively during elective scrotal surgery. We present two cases of testicular mesothelioma that were diagnosed incidentally during hydrocelectomy. These cases emphasize the importance of considering testicular mesothelioma during hydrocele and scrotal mass workup and demonstrate the need for standardized guidelines for the management of testicular mesothelioma.