AUTHOR=Zhang Zhan-yi , Hong Peng , Deng Shao-hui , Tang Shi-ying , Liu Zhuo , He Hui-ying , Ma Lu-lin , Zhang Shu-dong , Tian Xiao-jun 

TITLE=Spermatic cord anastomosing hemangioma mimicking a malignant inguinal tumor: A case report and literature review

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.930160

DOI=10.3389/fsurg.2022.930160

ISSN=2296-875X

ABSTRACT=Background: Anastomosing hemangioma (AH) is a rare vascular tumor, and occurs in various organs. It is difficult to distinguish AH from malignant tumors even through multi-modal imaging examination. AH located in the inguinal region is even rarer. We present the diagnosis and treatment of a spermatic cord AH case in details, and conduct a literature review.
Case Report:  An 84-year-old Chinese man had swelling pain in his right scrotum. A hard and fixed mass was palpable in the right inguinal region. Preoperative radiological examination considered it a neurogenic or vascular tumor. Malignant soft tissue sarcoma could not be excluded. He underwent radical inguinal right orchiectomy under intraspinal anesthesia. The diagnosis of spermatic cord AH was confirmed by pathological examination. The patient recovered uneventfully and remained disease-free during 18-month follow-up.
Conclusion: Spermatic cord AH is quite rare and could be misdiagnosed as a malignant tumor. Pathological evidence might be necessary. The optimal choice of treatment should be determined through a comprehensive assessment of both tumor and patient factors.