Rare presentation of a testicular angiofibroma treated with testis sparing surgery

  • Luca Leone Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona, Italy.
  • Paola Fulvi Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona, Italy.
  • Giulia Sbrollini Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona, Italy.
  • Alessandra Filosa UOC Urologia Civitanova Marche, AV 3, ASUR Marche, Italy.
  • Enrico Caraceni Anatomia Patologica, AV 3, ASUR Marche, Italy.
  • Angelo Marronaro Anatomia Patologica, AV 3, ASUR Marche, Italy.
  • Andrea B. Galosi | galosiab@yahoo.it Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona, Italy.

Abstract

Introduction: Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear. Case report: A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months. Conclusion: We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.

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Published
2016-12-30
Info
Issue
Section
SIEUN Congress: Case Reports
Keywords:
Testicular neoplasms, Angiofibroma, Testis-sparing surgery, Small testicular tumors
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How to Cite
Leone, L., Fulvi, P., Sbrollini, G., Filosa, A., Caraceni, E., Marronaro, A., & Galosi, A. (2016). Rare presentation of a testicular angiofibroma treated with testis sparing surgery. Archivio Italiano Di Urologia E Andrologia, 88(4), 330-332. https://doi.org/10.4081/aiua.2016.4.330