Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Angiofibroma of the spermatic cord: a case report and a review of the literature | Dikaiakos et al. Journal of Medical Case Reports 2011 5 423 http content 5 1 423 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Angiofibroma of the spermatic cord a case report and a review of the literature Panagiotis Dikaiakos1 Adamantia Zizi-Sermpetzoglou2 Spyros Rizos1 and Athanasios Marinis1 Abstract Introduction Cellular angiofibroma is a benign vascular neoplasm that typically arises in the paratesticular region in men and is easily confused with inguinal or scrotal hernia. Case presentation We present a case of a cellular angiofibroma arising from the spermatic cord of a 74-year-old Caucasian man. Initially the lesion was confused with a scrotal hernia but imaging revealed a subcutaneous inhomogeneous but well-circumscribed lesion to the surrounding tissues with rich vasculature. Surgical resection of the lesion was performed. Histology revealed a benign tumor of vascular origin rich in fibroblasts. Conclusions Angiofibroma can easily be confused with an inguinal hernia and should be differentiated from Schwann cell tumors perineuromas spindle-cell lipomas aggressive angiomyxomas angiomyofibroblastomas solitary fibrous tumors spindle-cell liposarcomas and leiomyomas. A safe initial diagnosis is difficult because of its location nature and correlation with other structures of the area. Introduction Cellular angiofibroma AF or angiomyofibroblastoma AMF -like tumor was first described by Nucci et al. in 1997 1 and later in 1998 by Laskin et al. 2 as a rare tumor distinguishable from AMF that occurs in the inguinal area perineum and scrotum in men and in the vulva in women. Although its origin is unknown the suggested histogenesis is perivascular stem cells with a capacity for fatty and myofibroblastic differentiation 3 . Clinically it can easily be mistaken for a sliding or scrotal hernia. The pathological and imaging features of AFs overlap those of AMF solitary fibrous tumors and angiomyxomas. We present a case of .
