Scrotal but Not Testicular Tumour, a Surgical Surprise- Angiomyofibroblastoma- A Case Report | ...

Introduction: Angiomyofibroblastoma is a rare cancer that manifests as a painless, slow-growing scrotal mass that might be mistaken for a testicular tumour. Lipomas, adenomatoid tumours, and leiomyomas are the most frequent benign para-testicular tumours. Angiomyofibroblastoma is the most uncommon benign tumour found in this area. Angiomyofibroblastoma is the rarest of the para-testicular tumours, and it is much rarer in men. The patient was a 40-year-old gentleman who had a painless scrotal lump for 112 years and had normal tumour markers. A big intrascrotal cavity mass was discovered using ultrasonography. After receiving adequate consent, the scrotum was explored and a high inguinal orchidectomy was performed. Angiomyofibroblastoma with CD 34+ DESMIN++++ ER++ S 100-- was found on histopathology and immunohistochemistry of this extratesticular tumour. Discussion: Only less than 25 such cases have been reported earlier all over the world. Among the tumors occurring in the scrotum, angiomyofibroblastoma-like tumors are benign mesenchymal formations. Genital AMFB’s (Angiomyofibroblastoma) has partially myxoid proliferation that demonstrated considerable variation in cellular density, but it also possesses two integral components: blood vessels and stromal cells. All AMFB’s (Angiomyofibroblastoma) showed immunoreactivity for vimentin, desmin, actin and estrogen receptor protein.

Conclusion: The purpose of the current study is to be increased the knowledge regarding a very rare paratesticular tumor, angiomyofibroblastoma, keeping it as a differential diagnosis for scrotal tumors. The detailed study of this rare benign tumour helps to add to the previous such case reports and helps in making of specific management protocols so as the treatment of such tumours will become easier to the future cases.

Please see the link :- https://www.journalajcrs.com/index.php/AJCRS/article/view/30180