Kamitani Rei, Matsumoto Kazuhiro, Fujiwara Shinnosuke, Akita Hirotaka, Mikami Shuji, Kameyama Kaori, Jinzaki Masahiro, Oya Mototsugu
Department of Urology Keio University School of Medicine Tokyo Japan.
Department of Diagnostic Radiology Keio University School of Medicine Tokyo Japan.
IJU Case Rep. 2020 Feb 20;3(2):69-71. doi: 10.1002/iju5.12147. eCollection 2020 Mar.
Cellular angiofibroma is a benign mesenchymal tumor that is rare and has a good prognosis. However, preoperative distinction of cellular angiofibroma from malignant tumors is difficult.
A 77-year-old man complained of a left inguinal mass, which was a solid, painless, mobile tumor measuring approximately 40 mm and contacted with the left spermatic cord. Based on his age, the location and imaging findings, a preoperative diagnosis of myxoid liposarcoma was made. The patient underwent left high inguinal orchiectomy with complete resection of the tumor. Histologically and immunohistochemically, the tumor had no feature of malignancy. A postoperative diagnosis of cellular angiofibroma was made. The patient remains free of disease recurrence 12 months after surgery.
Cellular angiofibroma is a benign but rare tumor, which is sometimes difficult to distinguish from malignant neoplasms. Further studies are needed to accurately preoperatively diagnose this tumor.
细胞性血管纤维瘤是一种罕见的良性间叶组织肿瘤,预后良好。然而,术前将细胞性血管纤维瘤与恶性肿瘤区分开来很困难。
一名77岁男性主诉左侧腹股沟肿物,为一个实性、无痛、可移动的肿瘤,大小约40毫米,与左侧精索相连。根据其年龄、部位及影像学表现,术前诊断为黏液样脂肪肉瘤。患者接受了左侧高位腹股沟睾丸切除术及肿瘤完整切除。组织学和免疫组化检查显示,该肿瘤无恶性特征。术后诊断为细胞性血管纤维瘤。患者术后12个月无疾病复发。
细胞性血管纤维瘤是一种良性但罕见的肿瘤,有时难以与恶性肿瘤区分。需要进一步研究以准确在术前诊断该肿瘤。