Spermatic Cord Cellular Angiofibroma
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Rare, circumscribed, slow-growing, benign mesenchymal tumor whose suggested histogenesis is perivascular stem cells.
Very low. About 60 cases of cellular angiofibroma in male genitourinary system are reported in English literature.
It affects adults usually over 50 years of age.
In men, cellular angiofibroma is observed in the inguino-scrotal region (paratesticular, tunica vaginalis, epididymis, and spermatic cord). There are rare reports of perineal, urethral, and retroperitoneal locations.
Recommended treatment is the complete surgical excision with tumor-free margins and long-term follow-up exams. No indications for radiation and chemotherapy.
Follow-up is required because it may recur years after initial resection. No metastases have been observed.
Macroscopic appearance is of a well-circumscribed, elastic-hard, slightly mobile mass whose size varies between 2.5 cm...