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Table of Contents
Definition / general | Terminology | Clinical features | Radiology description | Radiology images | Case reports | Treatment | Gross description | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Negative stains | Differential diagnosis | Additional referencesCite this page: Hemangioma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/testishemangioma.html. Accessed July 15th, 2017.
Definition / general
- A rare, benign vascular neoplasm, ages 2 months to 77 years
Terminology
- Subtypes / variants include anastomosing (Am J Surg Pathol 2009;33:1364), capillary, cavernous, epithelioid
Clinical features
- Testicular mass or pain
- No known predisposing factors
Radiology description
- Homogenous hypoechoic mass hypervascular on Doppler studies (Am J Surg Pathol 2013;37:860)
Radiology images
Images hosted on other servers:
Ultrasonographic findings
Case reports
- 12 year old boy with cryptorchidism and capillary hemangioma (Urology 2012;80:1135)
- 23 year old man (Indian J Pathol Microbiol 2012;55:557)
- 29 year old man with epithelioid (histiocytic) hemangioma (Am J Surg Pathol 1990;14:584)
Treatment
- Typically orchiectomy is performed due to inability to rule out a malignant neoplasm
- Testicular sparing surgery is preferred if feasible (BJU Int 2009;103:488)
Gross description
- Well circumscribed, reddish brown, hemorrhagic mass
Gross images
Images hosted on other servers:
Cavernous hemangioma
Microscopic (histologic) description
- Small tubules, some with red blood cells, lined by mesothelial like cells with uniform, vesicular nuclei
- Can have focally infiltrative growth pattern with entrapment of seminiferous tubules
Microscopic (histologic) images
Images hosted on other servers:
Capillary hemangioma
Cavernous hemangioma
CD34
Positive stains
- Factor VIII, CD31, CD34, FLI1
Negative stains
Differential diagnosis
Additional references
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