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Paratesticular Cellular Angiofibroma (CAF): A Rare Case Report
Sofia Gaspar Reis1, Duarte Gil Alves2, Sara Anacleto3
1General Surgery, Centro Hospitalar Barreiro Montijo, Barreiro, PRT.
Cureus
|September 11, 2023
Summary
Cellular angiofibromas (CAFs) are rare benign tumors. This case highlights their surgical management and the importance of recognizing them for testicular preservation.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Cellular angiofibromas (CAFs) are rare, benign soft-tissue tumors.
- These tumors predominantly impact the genitourinary region in both sexes.
Observation:
- A 71-year-old male presented with bilateral testicular swelling, more pronounced on the left.
- Initial assessments suggested bilateral hydrocele, leading to surgical intervention for the left side.
Findings:
- Intraoperative identification of a left paratesticular mass.
- Histopathological analysis confirmed the mass as a cellular angiofibroma.
Implications:
- Awareness of CAFs is crucial for surgeons to optimize treatment.
- Local excision can preserve the testicle with favorable outcomes.
- Long-term follow-up is recommended due to the rare possibility of local recurrence.

