Erschienen in:
Open Access
14.12.2018 | case report
Incidental resection of a scrotal aggressive angiomyxoma mimicking a spermatocele: a case report
verfasst von:
Dr. Mona Kafka, PD Dr. Peter Rehder, MB, ChB, MSc, MMed, Ao. Univ.-Prof. Dr. Hans Maier, Univ.-Prof. Dr. Wolfgang Horninger
Erschienen in:
European Surgery
|
Ausgabe 1/2019
Summary
Background
Aggressive angiomyxoma is a rare mesenchymal neoplasm, occurring mainly in females. It is located in the pelvis and perineum, with known metastasis and hormone sensitivity only in females. Local recurrence is relatively common. We describe the case of a 62-year-old man who presented with symptoms and signs of a spermatocele.
Methods
Scrotal exploration with surgical excision of the lesion was done. Because a benign setting was assumed, no radical inguinal orchiectomy was performed.
Results
The specimen sent to pathology confirmed an aggressive angiomyxoma with positive resection margins.
Conclusion
Despite the plurality of benign scrotal masses such as spermatoceles or hydroceles, rare neoplasms should always be kept in mind. Hence, complete excision should be performed whenever possible. We selected an active surveillance strategy despite positive margins, since there is no described case of metastasis in men to date. Therefore, regular scrotal ultrasound examinations every 3 months were arranged as follow-up.