ABSTRACTintratesticular vascular neoplasms are extremely rare tumors and mostly seen in children or young adults. We reported a case of capillary hemangioma of the testis to attract attention to testicular hemangioma and also to prevent invasive surgery of the testis.The patient was an 18-year-old boy with a testicular mass. Scrotal sonography revealed a varicocele in the left testis and a simple cyst in the left epididymis. There was a solid hypoechoic neoplastic area 75 mm in diameter in the right testis. The laboratory findings including tumor markers and serum levels of α-fetoprotein and ß-human chorionic gonadotrophin were normal. The patient underwent right orchiectomy and the pathology diagnosis was capillary hemangioma.Testicular neoplasms derived from connective tissue, blood vessels and musculature are uncommon and intratesticular tumors of vascular origin are extremely rare. There are only 21 cases reported in the literature. The pathologists and the surgeon have to be aware of this entity as the prognosis of the neoplasm determines the method of surgery. Capillary hemangioma of the testis can be similar to malignant testicular tumors on clinical presentation, as well as on ultrasonography and magnetic resonance imaging. although it is impossible to differentiate a hemangioma from a seminoma before the operation, intraoperative frozen study may be helpful in the differential diagnosis. Frozen section must be performed if the neoplasm has significant vascular proliferation identified by Doppler sonography. Because of the benign nature of this lesion, conservative surgical treatment by means of tumor enucleation with preservation of the testis is possible if intraoperative frozen section examination can be performed.
Key Words: Testicular neoplasm, Hemangioma, Vascular neoplasms
ÖZİntratestiküler vasküler neoplazmlar oldukça nadir tümörlerdir ve en sık çocuklar ve genç erişkinlerde saptanırlar. Biz bir testiküler kapiller hemanjiyom olgusunu testis hemanjiyomları üzerine ilgi çekerek, testisin invaziv cerrahisini önlemek amacıyla literatüre sunduk.18 yaşında testiküler kitlesi olan erkek hastada, skrotal ultrason ile sağ testiste varikosel ve sağ epididimde 6 mm çaplı basit kist tespit edilmiştir. ayrıca sol testiste 75 mm çaplı solid, hipoekoik alan mevcuttur. Laboratuvar bulguları; tümör markerları ve serum α-fetoprotein, ß-human koryonik gonadotropin seviyeleri normaldir. Hastaya sol orşiyektomi yapılmış ve patolojik tanısı kapiller hemanjiyom olarak rapor edilmiştir.Testisin bağ doku, damar ve kas dokularından köken alan neoplazmları oldukça nadirdir. ancak damar kökenli intratestiküler tümörleri çok daha nadirdir. Literatürde sunulmuş sadece 21 olgu bulunmaktadır. neoplazmın prognozu operasyonda belirleyici bir faktör olduğu için bu nadir antite gerek cerrah gerekse patolog tarafından akılda tutulması gereken bir durumdur. Testisin kapiller hemanjiyomu klinik ve radyolojik olarak (ultrasonografik ve manyetik rezonans görüntüleme) malign tümörlerine benzer. operasyon öncesinde hemanjiyom ile seminom...