Angiofibroma with Low Cellularity of the Spermatic Cord

Angiofibroma with Low Cellularity of the Spermatic Cord

Cellular angiofibroma is a benign mesenchymal tumor with uniform, bland, spindle cell differentiation accompanied by thick walled vessels. We report a 17-year-old male who was diagnosed cellular angiofibroma on his right spermatic cord. He had small (about 1cm sized), non-tender, painless, movable mass for 3 years but 1 year ago insidious size of mass increased. Histological finding showed features characteristic of cellular angiofibroma however that occurs almost exclusively in vulvar of middle aged women. In addition, benign mesenchymal neoplasms had similar histologic findings with angiofibroma, especially aggressive angiofibroblastoma, aggressive angiomyxoma and solitary fibrous tumor. Specific immunohistochemical stain profile of angiofibroma helpful of differential diagnosis. Local excision with clear resection margin and long-term follow up are the treatment of choice as local recurrence has been reported in a few case.