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Updated: Mar 9, 2026
Microsurgical Obstruction of Testes Fusion in Spodoptera litura
Published on: July 16, 2021
Rare presentation of a testicular angiofibroma treated with testis sparing surgery
Luca Leone1, Paola Fulvi, Giulia Sbrollini
1Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona. galosiab@yahoo.it.
Introduction:
Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear.
Case Report:
A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months.
Conclusion:
We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.
