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J Med Case Rep. 2011 Aug 30;5:423. doi: 10.1186/1752-1947-5-423.

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

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1
First Department of Surgery, Tzaneion General Hospital, 1 Zanni & Afentouli Street, 18536 Piraeus, Greece. drmarinis@gmail.com.

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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