Large Paratesticular Cellular Angiofibroma: Imaging Findings and Pathological Correlation

Cellular angiofibroma is a rare benign tumor that typically occurs in the genitourinary region and may be difficult to distinguish from other scrotal masses. We report a case of a 41-year-old man presenting with a slowly enlarging, painless scrotal swelling. Imaging demonstrated a well-defined extratesticular lesion without clear features of malignancy. The patient underwent surgical excision with preservation of surrounding structures. Histological evaluation confirmed the diagnosis of cellular angiofibroma, with no evidence of aggressive behavior. This case highlights the importance of considering this rare entity in the differential diagnosis of paratesticular masses and emphasizes the role of histopathology in establishing the diagnosis and guiding appropriate management.