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

Autor: Rizos Spyros, Zizi-Sermpetzoglou Adamantia, Dikaiakos Panagiotis, Marinis Athanasios
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 5, Iss 1, p 423 (2011)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-5-423
Popis: Abstract 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.
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