Multiple Angiolipomas of the Spermatic Cord: A Case Report

We report a rare case of multiple spermatic cord angiolipomas.

An 85-year-old man with a history of laparoscopic right nephrectomy for renal cell carcinoma was referred for evaluation of a palpable right scrotal mass. Ultrasonography showed a single solid mass. Computed tomography and magnetic resonance imaging revealed a solid nodule in contact with the right spermatic cord and a fatty mass below the nodule. Right inguinal orchiectomy was performed. Histopathological examination of the surgical specimen was consistent with angiolipoma. He was discharged 4 days postoperatively, and no recurrence has been observed during the subsequent 8 months.

Angiolipomas are benign and rarely occur in paratesticular tissue. They should be distinguished from liposarcomas, given the differences in treatment and prognosis. Diagnosis requires surgical resection and histopathological examination. Once resected, angiolipomas rarely recur, and the prognosis is good.