Cellular Angiofibroma of the Spermatic Cord

Abstract

Cellular angiofibromas are rare, slow-growing mesenchymal tumours, most often localised in the vulva and perineum of women. We present a case of a 60-year-old male with a 7-cm large cellular angiofibroma in the inguinal canal extending toward the testis, detected after inguinal herniorraphy. Inguinal orchiectomy was performed and the pathology report revealed a cellular angiofibroma containing a lot of mast cells in the stroma, which was collagenised with spindle-shaped cells and characterised by hyalinised vascular structures. The localisation and nature of this type of mass makes initial diagnosis difficult. Differential diagnosis is important to rule out histologically malignant aggressive angiomyxomas and other solitary fibrous tumours. As local recurrence may occur after resection, long-term follow-up is necessary.

Rare soft tissue tumor presenting as inguinal swelling

“…CT is not recommended because it tends to show a poorly defined heterogeneous mass. Ultrasound and MRI are very reliable while CT is not beneficial to show tissue characteristics 3 . Regardless of imaging results, first-line treatment for inguinoscrotal tumors is surgical resection, followed by definitive pathological diagnosis 4…”

Spermatic cord tumors — review of the literature

“…For the treatment of cellular angiofibroma of the spermatic cord and if the tumor involves other perinuclear structures during resection of the lesion, testis-sparing methods are recommended [32].…”