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Case Reports
. 2009:2009:157624.
doi: 10.1155/2009/157624. Epub 2009 Jun 25.

Aggressive angiomyxoma of the scrotum mimicking huge hydrocele: case report and literature review

Roy Morag  1 , Eduard Fridman, Yoram Mor
Affiliations
Case Reports

Aggressive angiomyxoma of the scrotum mimicking huge hydrocele: case report and literature review

Roy Morag et al. Case Rep Med. 2009.

Abstract

Aggressive Angiomyxoma (AAM) is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. We are presenting a case of 64 year old male patient with a slowly growing scrotal swelling which has been regarded as hydrocele for 2 years. The patient was referred to scrotal exploration. At surgery a huge mass adjacent to the bulbar urethra was found, not involving the testicles. The morphological picture and the special stains were compatible with aggressive angiomyxoma of the scrotum and peritoneum.

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Figures

Figure 1
Figure 1
CT scan of the perineum showing a median scrotal mass.
Figure 2
Figure 2
The intraoperative appearance of the scrotal mass with its relationship to the adjacent bulbar urethra.
Figure 3
Figure 3
Histologic slide showing thick-walled vessels, no mitosis and collagen fibrils (H&E × 10).
Figure 4
Figure 4
CD34 × 40 stain the spindle fiber brown.
Figure 5
Figure 5
Masson × 10 very specific staining for collagen, we can also see again the thick walled blood vessels.
See this image and copyright information in PMC

References

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    1. Hong RD, Outwater E, Gomella LG. Aggressive angiomyxoma of the perineum in a man. Journal of Urology. 1997;157(3):959–960. - PubMed

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