TY - JOUR AU - Leone, Luca AU - Fulvi, Paola AU - Sbrollini, Giulia AU - Filosa, Alessandra AU - Caraceni, Enrico AU - Marronaro, Angelo AU - Galosi, Andrea B. PY - 2016/12/30 Y2 - 2024/03/28 TI - Rare presentation of a testicular angiofibroma treated with testis sparing surgery JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 88 IS - 4 SE - SIEUN Congress: Case Reports DO - 10.4081/aiua.2016.4.330 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2016.4.330 SP - 330-332 AB - Introduction: Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear. Case report: A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months. Conclusion: We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable. ER -