Abstract
We report a case of a lobular capillary hemangioma in a 66-year-old man, who presented with left testicular pain, with an asymptomatic incidental right testicular lesion found on ultrasonography. The sonographic examination demonstrated a heterogeneous mainly iso-echoic intratesticular lesion with marked vascularity on the color Doppler examination. Further evaluation with contrast-enhanced ultrasound and strain elastography was performed; the multiparametric imaging suggested a benign tumor. The multidisciplinary team decision with patient consent was to perform a radical orchiectomy with subsequent histopathology confirming a benign lobular capillary hemangioma.
Riassunto
Riportiamo un caso di angioma lobulare capillare in un uomo di 66 anni, presentatosi con dolore testicolare sinistro e con all’ecografia una lesione incidentale al testicolo di destra. L’esame ecografico ha rilevato una lesione eterogenea, principalmente isoecogena, con florida vascolarizzazione al color Doppler. Abbiamo proceduto ad ulteriore valutazione con ecografia con mezzo di contrasto ed elastografia, e l’imaging multiparametrico ha suggerito un tumore benigno. In accordo con il paziente, il team multidisciplinare ha deciso di procedere ad una orchidectomia radicale e l’esame istopatologico ha confermato un angioma lobulare capillare benigno.
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(Silvia Bernardo MD, Eleni Konstantatou MD, Dean Y. Huang MRCP FRCR, Annamaria Deganello MD, Marianna Philippidou BSc MBBS FRCPath, Christian Brown BSc MD FRCS (Urol), Maria E. Sellars MBBS FRCR, Paul S. Sidhu MRCP FRCR) declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5).
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Bernardo, S., Konstantatou, E., Huang, D.Y. et al. Multiparametric sonographic imaging of a capillary hemangioma of the testis: appearances on gray-scale, color Doppler, contrast-enhanced ultrasound and strain elastography. J Ultrasound 19, 35–39 (2016). https://doi.org/10.1007/s40477-015-0187-9
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DOI: https://doi.org/10.1007/s40477-015-0187-9