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14.12.2018 | case report | Ausgabe 1/2019 Open Access

European Surgery 1/2019

Incidental resection of a scrotal aggressive angiomyxoma mimicking a spermatocele: a case report

European Surgery > Ausgabe 1/2019
Dr. Mona Kafka, MB, ChB, MSc, MMed PD Dr. Peter Rehder, Ao. Univ.-Prof. Dr. Hans Maier, Univ.-Prof. Dr. Wolfgang Horninger
Wichtige Hinweise

Availability of data and material

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.



Aggressive angiomyxoma is a rare mesenchymal neoplasm, occurring mainly in females. It is located in the pelvis and perineum, with known metastasis and hormone sensitivity only in females. Local recurrence is relatively common. We describe the case of a 62-year-old man who presented with symptoms and signs of a spermatocele.


Scrotal exploration with surgical excision of the lesion was done. Because a benign setting was assumed, no radical inguinal orchiectomy was performed.


The specimen sent to pathology confirmed an aggressive angiomyxoma with positive resection margins.


Despite the plurality of benign scrotal masses such as spermatoceles or hydroceles, rare neoplasms should always be kept in mind. Hence, complete excision should be performed whenever possible. We selected an active surveillance strategy despite positive margins, since there is no described case of metastasis in men to date. Therefore, regular scrotal ultrasound examinations every 3 months were arranged as follow-up.

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