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Giant Angiofibroma of the Scrotum in a Child
Salvatore Arena1, Valeria Barresi2, Carmelo Romeo1
1Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", Unit of Paediatric Surgery, University of Messina (Italy), Viale Gazzi, AUO "Gaetano Martino", Messina, Italy.
Insights
A rare scrotal angiofibroma was found in a 3-year-old boy. Prompt surgical excision is recommended for rapidly growing erythematous genital lesions to prevent complications.
Area of Science:
- Dermatology
- Pediatric Surgery
- Oncology
Background:
- Angiofibromas are typically benign tumors.
- Scrotal angiofibromas are exceptionally rare, especially in pediatric patients.
- Early detection and intervention are crucial for pediatric genitourinary conditions.
Observation:
- A 3-year-old male presented with a scrotal mass.
- A history of a neonatal erythematous plaque in the same region was noted.
- The mass was completely surgically removed.
Findings:
- Histopathological examination confirmed the diagnosis of scrotal angiofibroma.
- The tumor's presentation as a neonatal plaque suggests a potential developmental origin.
- Complete excision was achieved without immediate complications.
Implications:
- This case highlights the importance of monitoring neonatal erythematous lesions in the genital area.
- Prompt surgical excision is advised for rapidly enlarging lesions to ensure favorable outcomes.
- Further research into the etiology and optimal management of pediatric scrotal angiofibromas is warranted.
Abstract:
We present a unique case of angiofibroma of the scrotum in a 3-year-old child. A previous red plaque has been observed in the same region since the neonatal period. The boy underwent total excision of the mass. We suggest a close follow-up of any erythematous lesion of the genital region; in case of rapid increase, it is important to proceed to prompt surgical excision.

