Leone Luca, Fulvi Paola, Sbrollini Giulia, Filosa Alessandra, Caraceni Enrico, Marronaro Angelo, Galosi Andrea B
Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona.
Arch Ital Urol Androl. 2016 Dec 30;88(4):330-332. doi: 10.4081/aiua.2016.4.330.
Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear.
A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months.
We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.
睾丸良性肿瘤非常罕见（<5%）。睾丸血管纤维瘤（AF）是其中之一，然而其治疗和随访的金标准仍不明确。
一名47岁仅有一个功能正常睾丸的男性因右侧睾丸可触及肿块及对侧睾丸萎缩被转诊至我院。患者接受了腹股沟入路的保留睾丸手术，并进行了术中冰冻切片检查，诊断为AF。最终组织学检查确诊为AF。术后随访无异常。8个月后临床及超声随访均为阴性。
我们报告了一例对孤立睾丸AF患者进行的保守手术。AF是一种良性睾丸旁纤维性肿瘤，可能被误诊为恶性肿瘤并接受睾丸切除术。本例建议行保留睾丸手术并进行术中病理检查。肿块切除即可，但鉴于可能复发，建议长期随访。
