A confusing testicular tumor: a case report

Authors

  • Salwa Nechi
  • Syrine Moussa Pathology department, Sahloul, Sousse
  • Amel Douggaz
  • Abir Chaabane
  • M.Karim Mfarrej
  • Malek Boughdir
  • Emna Chelbi

DOI:

https://doi.org/10.71599/bhr.v3i1.108

Keywords:

orchidectomy, testicular tumor, cavernous hemangioma

Abstract

Cavernous hemangioma is a benign tumor that may occur in any part of the body. Its occurrence in the testicular parenchyma is extremely rare. Patients may present with testicular mass mimicking a malignant testicular tumor. In some cases, patients present with acute onset. We report the case of a 51-year-old male who presented with a solid and edematous testicular mass evolving for 4 months. Radiological presentation was not specific, the ultrasound examination objectified a large hetero-echogeneous mass. Tumor markers including α-fetoprotein, β-human chorionic gonadotropin and LDH were normal. A malignant testicular tumor was suspected. Therefore, the patient underwent radical right orchidectomy. Gross examination of the specimen revealed a well circumscribed intratesticular nodule with hemorrhagic cut surface. However, pathological examination revealed a benign testicular tumor composed of dilated thin-walled cavernous vascular spaces filled with red blood cells, compatible with the diagnosis of testicular cavernous hemangioma.

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Published

30-07-2024

Issue

Section

Case report