Testicular capillary hemangioma - A case report of a rare tumor

Zaidi, Shaesta Naseem; Fathaddin, Amany A

doi:10.4103/0377-4929.107815

Cited by 10 publications

(19 citation statements)

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“…Ultrasound was the first choice for imaging examination of TCH, and magnetic resonance imaging has been described in only 2 cases. [11,12] On ultrasonography, 80% of patients exhibit a hypoechoic solid mass with abundant blood flow signals, [2,6–8,13–16] with only 1 case exhibiting no significant increase in color Doppler flow signals. [1] In addition to gray-scale and Doppler ultrasound, 1 patient underwent a 3-dimensional ultrasound scan to accurately visualize the vascular system of the lesion.…”

Section: Discussionmentioning

confidence: 99%

High-frequency ultrasonography and contrast-enhanced ultrasound for the evaluation of testicular capillary hemangioma

Liao

Xiang

et al. 2019

Medicine

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Rationale:Testicular capillary hemangioma (TCH) is a rare benign tumor of the testis. To the authors’ knowledge, there is currently only a few literatures describing the use of contrast-enhanced ultrasound (CEUS) to diagnose TCH. Accurate preoperative diagnosis of benign tumors can avoid orchiectomy. A case of TCH evaluated using high-frequency ultrasound and CEUS is presented.Patient concerns:A 21-year-old male presented with a right testicular mass during a routine physical examination, and was admitted to the authors’ hospital for definitive diagnosis and treatment.Diagnoses:Combined gray-scale, color Doppler ultrasonography, and CEUS did not exclude the possibility that the right testicular lesion may be a benign tumor. Combined with morphological and immunohistochemical staining results, a pathological diagnosis of TCH was considered.Interventions:The patient underwent right orchiectomy under general anesthesia, which proceeded smoothly.Outcomes:At the 12-month follow-up, the patient was completely asymptomatic and resumed all daily activities.Lessons:TCH is a rare benign tumor and lacks extensive previous data in imaging findings. If TCH can be diagnosed accurately before surgery, excessive or inappropriate treatment of benign lesions can be minimized, which will be beneficial to the physical and psychological health of patients.

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Section: Discussionmentioning

confidence: 99%

High-frequency ultrasonography and contrast-enhanced ultrasound for the evaluation of testicular capillary hemangioma

Liao

Xiang

et al. 2019

Medicine

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“…However, in cases of scrotal hemangiomas, many authors recommend the scheduled surgical removal of the lesion, with preservation of anatomic structures of the scrotum [ 5 , 14 , 16 ]. Enucleating of the lesion with minimal removal of testicular tissue is recommended only in the case of an endoscrotal hemangioma [ 19 , 20 ]. In complicated superficial scrotal hemangiomas, a more conservative approach such as flash dye pulsed laser (CO 2 , Nd: YAG, yellow-light), infusion of NaCl 15%, and cryotherapy can be considered [ 2 , 21 – 24 ].…”

Section: Discussionmentioning

confidence: 99%

Ulcerated Scrotal Hemangioma in an 18-Month-Old Male Patient: A Case Report and Review of the Literature

Patoulias

Farmakis

Kaselas

et al. 2016

Case Reports in Urology

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Deep scrotal hemangiomas are rare. Less than 50 case reports have been published. After systematic research of the literature, we found less than 5 cases of ulcerated scrotal hemangioma. The aim of this case report is to illustrate the challenges of scrotal hemangiomas pose and their potential therapies based on the successful surgical treatment of an ulcerated scrotal hemangioma in an 18-month-old male patient.

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“…Reports on the use of magnetic resonance imaging in the diagnosis of capillary hemangiomas of the testes are rare. In the available descriptions T1- and T2-weighted imaging and the use of a contrast agent did not allow to determine whether the lesions were benign or malignant ( 8 , 9 ) .…”

Section: Discussionmentioning

confidence: 99%

Naczyniak krwionośny włośniczkowy jądra. Opis przypadku rzadko występującego łagodnego nowotworu jądra

2016

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This paper presents the case of a very rare capillary hemangioma of the testis in a 23-year-old patient. Physical examination revealed a tumor located in the upper pole of the left testis, which was suspected of being malignant due to its significantly increased density and irregular contours. Blood levels of the following tumor markers were determined: alpha-fetoprotein, human chorionic gonadotropin and lactate dehydrogenase. No abnormalities were found in any of these tests. A gray-scale ultrasound scan of the scrotum revealed a lesion located in the upper pole of the left testis, 24 mm in diameter with slightly decreased echogenicity and irregular contours, which suggested infiltration of the tunica albuginea of the testis. Color and power Doppler scans demonstrated a dense network of blood vessels and increased blood flow in the lesion described. In addition, 3D ultrasound scan images were obtained, which allowed for a thorough determination of the topography of the lesion. No abnormalities were found in the patient's medical history, physical examination or ultrasound scan of the right testis. Taking into account the suspected malignancy with signs of infiltration of the tunica albuginea of the upper pole of the testis a decision was made to remove the left testis together with the spermatic cord using the inguinal approach. A histopathological examination of the whole specimen revealed a multifocal capillary hemangioma of the testis, signs of testicular fibrosis and significant atrophy of the spermatogenic epithelium of the seminiferous tubules. Immunohistochemistry: CD31 (+), CD34 (+), FVIII (−), vimentin (+), CK MNF116 (−), mesothelial cells (−), calretinin (−), MIB-1 = 8.4%. The tumor described is one of the few benign lesions originating from the tissues of the testis for which partial resection of the organ may be considered. Intraoperative histopathological examination and resection of the lesion with the preservation of a healthy tissue margin may be considered in patients with a single testis in whom the tumor is found to have a very rich vascular network and the levels of tumor markers are normal.

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Testicular capillary hemangioma - A case report of a rare tumor

Cited by 10 publications

References 0 publications

High-frequency ultrasonography and contrast-enhanced ultrasound for the evaluation of testicular capillary hemangioma

High-frequency ultrasonography and contrast-enhanced ultrasound for the evaluation of testicular capillary hemangioma

Ulcerated Scrotal Hemangioma in an 18-Month-Old Male Patient: A Case Report and Review of the Literature

Naczyniak krwionośny włośniczkowy jądra. Opis przypadku rzadko występującego łagodnego nowotworu jądra

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