Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 57 3 2019 05 13 194 196 EN Mehdi Kardoust parizi Department of Urology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Seyedali Momeni Department of Urology, Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Ghazal Ameli Department of Urology, Clinic Korneuburg, Korneuburg, Austria. 2018 07 11 2018 11 10 Paratesticular fibrous pseudotumors (PFP) are relatively rare benign spindle cell tumors. These tumors usually are originated from testicularis tunics and grow into the epididymis and spermatic cord. PFP is a consequent of a reactive proliferation of inflammatory tissue. We report a case of PFP with simultaneous multiple tunica albuginea and tunica vaginalis lesions. A 33-year-old man presented with painless right scrotal lump, normal serum tumor markers, and one centimeter paratesticular mass in ultra-sonography that underwent testis-sparing surgery due to a benign microscopic appearance in frozen section evaluation. Testis sparing surgery can be considered as the preferred management because of the lack of obvious evidence of potential malignancy in this tumor. https://acta.tums.ac.ir/index.php/acta/article/view/7375 https://acta.tums.ac.ir/index.php/acta/article/download/7375/5236