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Case Report
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| Multifocal testicular capillary hemangioma | ||||||
| Shikha Singhal1, Waseem Akhtar2, Mabel Das Thyveetil3 | ||||||
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1MBBS, MD, Specialty Trainee, Department of Histopathology, Wexham Park Hospital, Slough, United Kingdom.
2MBBS, Specialty Trainee, Department of Urology, Wexham Park Hospital, Slough, United Kingsdom. 3MBBS, FRCPath, Consultant Histopathologist, Department of histopathology, Wexham Park Hospital, Slough, United Kingdom. | ||||||
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| How to cite this article |
| Singhal S, Akhtar W, Thyveetil MD. Multifocal testicular capillary hemangioma. Int J Case Rep Images 2014;5(11):761–765. |
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Abstract
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Introduction:
Capillary hemangioma of testis is extremely rare. Less than 20 cases have been reported and all of these were single lesion. To our knowledge this is the first case report of a multifocal testicular capillary hemangioma.
Case Report: An elderly patient presented with pain in the right testis. Ultrasound showed a mass in the upper pole with increased vascularity at the periphery of lesion. The left testicle and testicular tumor markers were normal. Radical orchidectomy was performed that showed a well-defined cystic area within the testis. Histology showed an organizing hematoma in the cystic area with benign capillary proliferations in the periphery. There were multiple well-demarcated foci of benign capillary proliferations in the adjacent testicular parenchyma. These proliferative lesions were positive for CD34 and factor VIII. This case was diagnosed as multifocal capillary hemangioma. A review of color Doppler imaging of the right testis showed an area of hypervascularity inferior to the mass lesion that corresponded with multifocal capillary hemangiomas on histology. Conclusion: Vascular neoplasms of testis are rare and mainly reported in young adults. Preoperative imaging and frozen sections are vital for appropriate management of these patients. Conservative management or incomplete excision may cause recurrence or hemorrhage but malignant transformation of these lesions has not been reported. This case of multifocal capillary hemangioma in the testis emphasizes the need for an astute radiological examination with frozen section for the appropriate management of patients with a clinically suspicious testicular mass. | |
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Keywords:
Testis, Multifocal, Capillary, Hemangioma
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Author Contributions
Shikha Singhal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Waseem Akhtar – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mabel Das Thyveetil – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Shikha Singhal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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