A confusing testicular tumor: a case report

Abstract

Cavernous hemangioma is a benign tumor that may occur in any part of the body. Its occurrence in the testicular parenchyma is extremely rare. Patients may present with testicular mass mimicking a malignant testicular tumor. In some cases, patients present with acute onset. We report the case of a 51-year-old male who presented with a solid and edematous testicular mass evolving for 4 months. Radiological presentation was not specific, the ultrasound examination objectified a large hetero-echogeneous mass. Tumor markers including α-fetoprotein, β-human chorionic gonadotropin and LDH were normal. A malignant testicular tumor was suspected. Therefore, the patient underwent radical right orchidectomy. Gross examination of the specimen revealed a well circumscribed intratesticular nodule with hemorrhagic cut surface. However, pathological examination revealed a benign testicular tumor composed of dilated thin-walled cavernous vascular spaces filled with red blood cells, compatible with the diagnosis of testicular cavernous hemangioma.