Haydar Hasan, Sleiay Mouhammed, Marina Sliman, Haydar Abdulrahman, Alqreea Mohammed, Alomar Bauthaina, Lutfi Mohamad Yasin, Youssef Simon
Faculty of Medicine Hama University Hama Syria.
Faculty of Medicine Damascus University Damascus Syria.
Clin Case Rep. 2024 Jul 18;12(7):e9192. doi: 10.1002/ccr3.9192. eCollection 2024 Jul.
The importance of urologists and pathologists being knowledgable about primary testicular hemangiomas and other benign adult testicular neoplasms, though rare, is crucial. Ensuring these professionals are well-versed in these conditions is vital in medicine. Testicular sparing surgery, especially when tumor markers are negative, is a common approach for patients with small or uncertain testicular masses.
The cause of the uncommon benign testicular tumor known as testicular capillary hemangioma is currently unclear. Children are shown to have a greater incidence than adults. Histopathological examination reveals a vascular tumor with a well-formed capillary lumina. The lesions are bordered by flattened endothelium and have lobulated clusters of closely spaced capillaries with an abundance of vascular gaps. These capillaries have anaplastic characteristics and lack mitotic activity. The patient, who was 24-year-old, came to the urology department complaining of severe testicular pain. He had no significant medical history. Clinical examination found a mass at the upper pole of the testicle. An ultrasonography Doppler study found a left varicocele that measured 3.5 mm in diameter, as well as a mass at the upper part of the left testicle. Pathologic examination confirmed the presence of a benign hemangioma with. Although rare, it is important for urologists and pathologists to be aware of primary testicular hemangiomas and other benign adult testicular neoplasms. Testicular sparing surgery has always been considered in patients with small or indeterminate testicular masses with negative tumor markers.
泌尿外科医生和病理科医生了解原发性睾丸血管瘤和其他罕见的成人良性睾丸肿瘤至关重要。确保这些专业人员精通这些病症在医学领域至关重要。对于睾丸肿块较小或情况不明的患者，保留睾丸手术是一种常用方法，尤其是在肿瘤标志物呈阴性时。
目前尚不清楚被称为睾丸毛细血管瘤的罕见良性睾丸肿瘤的病因。儿童的发病率高于成人。组织病理学检查显示为一种具有良好形成的毛细血管腔的血管肿瘤。病变由扁平内皮细胞界定，有小叶状紧密排列的毛细血管簇，有大量血管间隙。这些毛细血管具有间变特征且无有丝分裂活性。该患者为24岁，因严重睾丸疼痛前来泌尿外科就诊。他没有重大病史。临床检查发现睾丸上极有一个肿块。超声多普勒检查发现左侧精索静脉曲张，直径为3.5毫米，以及左侧睾丸上部有一个肿块。病理检查证实存在良性血管瘤。虽然罕见，但泌尿外科医生和病理科医生了解原发性睾丸血管瘤和其他成人良性睾丸肿瘤很重要。对于肿瘤标志物呈阴性的睾丸肿块较小或情况不明的患者，一直考虑采用保留睾丸手术。
