Korean J Urol.  2012 Nov;53(11):810-812.

Cavernous Hemangiolymphangioma of the Testis without Cutaneous Hemangiomatosis in an Elderly Patient

• Shin YS
• Doo AR
• Kim MK
• Jeong YB
• Kim HJ

Abstract

Hemangiolymphangioma is an extremely rare malformation of both the lymphatic and blood vessels. To date, however, there are no reports in the literature of a hemangiolymphangioma of the testis. An 84-year-old man visited our hospital for investigation of a 1-month episode of a rapidly growing mass in his right scrotum. Scrotal ultrasonography revealed a multilobulated mass with septation in the testis. Testicular tumor markers were within the normal limit. Radical orchiectomy was performed. At surgery, a red, wide-based, nodular tumor was found on the testis. Histological examination of the resected specimen showed it to be a cavernous hemangiolymphangioma. Here we report this first case of a cavernous hemangiolymphangioma of the testis without cutaneous hemangiomatosis in an elderly patient.

Keyword

Hemangioma; Lymphangioma; Testis

MeSH Terms

Aged
Aged, 80 and over
Blood Vessels
Caves
Hemangioma
Humans
Lymphangioma
Orchiectomy
Scrotum
Testis
Biomarkers, Tumor

Figure

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  FIG. 1 (A) Scrotum ultrasonography showing a multilobulated mass with septation in the testis. (B) Low blood flow was seen on color Doppler ultrasonography.

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  FIG. 2 Gross photograph of the testis after right radical orchiectomy. The testis was diffusely thickened and showed dilated blood vessels filled with blood.

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  FIG. 3 Histopathological features of the hemangiolymphangioma showing both hemangiomatous and lymphangiomatous components (H&E, ×100).

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