Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Nov 6:2018:4259563.
doi: 10.1155/2018/4259563. eCollection 2018.

A Rare Scrotal Tumor: Epididymal Cavernous Hemangioma

Omar Karray  1 , Mohamed Ali Ben Chehida  1 , Ahmed Sellami  1 , Kheireddine Mrad Daly  1 , Zied Mahjoubi  1 , Alia Zehani  2 , Sami Ben Rhouma  1 , Yassine Nouira  1
Affiliations
Case Reports

A Rare Scrotal Tumor: Epididymal Cavernous Hemangioma

Omar Karray et al. Case Rep Urol. .

Abstract

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Operative specimen: left orchiectomy, with a 7-centimeter regular solid mass of the epididymis caput.
Figure 2
Figure 2
Important vascular proliferation. Vessels are enlarged, laying in an abundant connective tissue.
Figure 3
Figure 3
Regular flat endothelial cells bordering the vessels lumen.
See this image and copyright information in PMC

References

    1. Chetty R. Epididymal cavernous haemangiomas. Histopathology. 1993;22(4):396–398. doi: 10.1111/j.1365-2559.1993.tb00144.x. - DOI - PubMed
    1. Chou S., Soucy P., Carpenter B. Extraspinal ependymoma. Journal of Pediatric Surgery. 1987;22(9):802–803. doi: 10.1016/S0022-3468(87)80638-3. - DOI - PubMed
    1. Rastogi R. Diffuse cavernous hemangioma of the penis, scrotum, perineum, and rectum: a rare tumor. Saudi Journal of Kidney Diseases and Transplantation. 2008;19(4):614–618. - PubMed
    1. Richie J. P. Neoplasm of testis. In: Walsh P. C., Retik A. B., Vaughan. E. D., Wein A. J., editors. Campbell's Urology. 7th. III. Philadelphia, Pennsylvania: WB Saunders; 1998. pp. 2411–2452.
    1. Robertson J. W., Palitz S. Hemangioma of testis and epididymis. The Journal of Urology. 1954;72(5):908–910. doi: 10.1016/S0022-5347(17)67691-2. - DOI - PubMed

Publication types