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Case Reports in Medicine
Volume 2017, Article ID 1273531, 3 pages
https://doi.org/10.1155/2017/1273531
Case Report

Paratesticular Angiomyofibroblastoma-Like Tumor: Unusual Case of a Solidocystic Form

1Department of Pathology, Military Hospital, Tunis, Tunisia
2Department of Urology, Military Hospital, Tunis, Tunisia

Correspondence should be addressed to Mohamed Amine Bani; rf.oohay@enimademinab

Received 22 November 2016; Accepted 4 January 2017; Published 28 February 2017

Academic Editor: Ron Rabinowitz

Copyright © 2017 Issam Msakni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The angiomyofibroblastoma-like tumor of the male genital tract is a rare benign tumor. A total of 34 cases have been reported in the literature. We herein report an exceptional case of solidocystic form in its paratesticular location, in a 79-year-old man. Clinical examination objectified a right testicular induration. Macroscopic examination of the orchidectomy objectified a paratesticular solidocystic tumor formation. Microscopically, the solid area was composed of vessels with small caliber and turgidity of endothelial cells. These vessels were surrounded by clusters of epithelioid cells, sometimes having the appearance of giant cells. They were associated with spindle cells. The cystic area was uncoated. Immunohistochemically, the fusiform cells expressed Desmin and Smooth Muscle Actin. Endothelial cells and clusters of cells surrounding large vessels expressed CD34. The expression of receptors for estrogen and progesterone was negative. To our knowledge, this is the second solidocystic case of angiomyofibroblastoma-like tumor of male genital tract.