Benign scrotal tumors masquerading as expanding varicoceles

Area of Science:

• Urology
• Pediatric Surgery
• Pathology

Background:

• Vascular scrotal lesions are uncommon in pediatric patients.
• Varicoceles are the most frequent cause, but tumors can also present as vascular masses.

Observation:

• Two pediatric cases of vascular scrotal masses resembling varicoceles were reported.
• Histologic examination revealed benign scrotal tumors.

Findings:

• Hemangiomas, hamartomas, and mesenchymal tumors are key differentials for vascular right scrotal lesions.
• Prepubertal varicoceles are rare, necessitating biopsy for any vascular scrotal lesion in this age group.

Implications:

• Biopsy is essential to differentiate benign tumors from malignancy in pediatric vascular scrotal masses.
• Early excision of benign mesenchymal tumors may prevent potential dedifferentiation into malignant tumors.