Angiofibroma of the spermatic cord: a case report and a review of the literature.

Autor: Dikaiakos P; First Department of Surgery, Tzaneion General Hospital, 1 Zanni & Afentouli Street, 18536 Piraeus, Greece. drmarinis@gmail.com., Zizi-Sermpetzoglou A, Rizos S, Marinis A
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2011 Aug 30; Vol. 5, pp. 423. Date of Electronic Publication: 2011 Aug 30.
DOI: 10.1186/1752-1947-5-423
Abstrakt: Introduction: Cellular angiofibroma is a benign vascular neoplasm that typically arises in the paratesticular region in men and is easily confused with inguinal or scrotal hernia.
Case Presentation: We present a case of a cellular angiofibroma arising from the spermatic cord of a 74-year-old Caucasian man. Initially, the lesion was confused with a scrotal hernia, but imaging revealed a subcutaneous, inhomogeneous, but well-circumscribed lesion to the surrounding tissues with rich vasculature. Surgical resection of the lesion was performed. Histology revealed a benign tumor of vascular origin rich in fibroblasts.
Conclusions: Angiofibroma can easily be confused with an inguinal hernia and should be differentiated from Schwann cell tumors, perineuromas, spindle-cell lipomas, aggressive angiomyxomas, angiomyofibroblastomas, solitary fibrous tumors, spindle-cell liposarcomas, and leiomyomas. A safe initial diagnosis is difficult because of its location, nature, and correlation with other structures of the area.
Databáze: MEDLINE
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