Epididymal cavernous haemangiomas

A Rare Scrotal Tumor: Epididymal Cavernous Hemangioma

Introduction

Paratesticular tumors are rarely observed among scrotal neoplasm. Various types of benign lesions are described. Cavernous hemangioma belongs to uncommon epididymal benign tumors. Clinical and sonographic features are not conclusive and diagnosis requires histological confirmation.

Case Presentation

Authors report a case of an epididymal hemangioma in a 56-year-old patient, consulting for a painful scrotal swelling. As malignancy was suspected, he underwent inguinal orchiectomy. Histological examination confirmed the diagnosis of cavernous epididymal hemangioma. Clinical and therapeutic aspects of this rare entity are discussed.

Conclusion

Epididymis is an infrequent location of cavernous hemangioma. Diagnosis is rarely made preoperatively as symptoms and radiological aspects are not specific. Conservative surgery must be attempted once feasible for aesthetic and functional purposes.

[Epididymis trombosed hemangioma in old patient. Presentation of 1 case with conceptual review and of the literature]

INTRODUCTION

Though theoretically in the paratesticular region one can develop any type of benign tumour of soft tissues, they are the lipomas, leiomyomas and adenomatoid tumours the most usual whereas the hemangiomas are less common. We contribute a new case of epididymis intrascrotal hemangioma (HI), valuing the bibliography that allows us to know the incidence and clinic-pathologic characteristics of these tumours.

MATERIAL AND METHOD

A 74-year-old patient includes for study with right scrotal tumour, who is practised orchiectomy. Hystopathologic study is realized. Of equal form there is realized a bibliographical examination of this type of tumours across Medline and of not index-linked search with conceptual review and of the literature.

RESULTS

The injury corresponds with a HI cavernous trombosed of epididymis with testicular parenchyma respected. Your hystopathologic diagnosis does not present problems, whereas the clinical one and ultrasonographic study, reaches the whole spectrum of tumours, benign and malignant of soft tissues. The number of intrascrotal hemangiomas of epididymis described in the literature is very limited.

CONCLUSIONS

The scrotal tumours are necessary a preoperatory clinical and sonographic study completely, in spite of the fact that they are diagnosed the majority after your surgical removal. The complex system of the tissues on the zone paratesticular implies that the differential enclosed diagnosis does not allow to differentiate, malignant tumours of benign. The low incident of many of these masses has determined the mistake of standardized protocols for your diagnosis but also for their unified treatment.