114 First Reported Case of Testicular Lobular Capillary Hemangioma with Associated Hydrocele in an Elderly Man– A Case Report and Review of Literature

Introduction/Objective Testicular hemangiomas are rare neoplasms. Less than 60 such cases are reported worldwide, with majority of patients are younger than 20 years. All of the reported testicular hemangiomas are cavernous, capillary, epithelioid and anastomosing subtypes with exception of three reported lobular capillary hemangiomas and none had associated hydrocele. We present the first case of testicular lobular capillary hemangioma with associated hydrocele in an elderly patient. Methods/Case Report A 69-year-old man presented with a three-month history of painless right testicular mass. Scrotal ultrasonography demonstrated a hydrocele and 2-cm isoechoic, vascularized, intratesticular mass in the right testis. His serum tumor markers were normal. A right radical orchiectomy was performed as malignancy could not be excluded. A 1.9-cm intratesticular well-demarcated mass with hydrocele was identified grossly. Microscopically, the mass demonstrated a lobulated proliferation of benign endothelial cells, forming variably solid and compressed capillaries, and accentuating around larger vessels. These neoplastic cells were positive for CD31, CD34, and FLI-1 and negative for cytokeratin, calretinin, inhibin, and CD30, confirming endothelial cell differentiation. An adjacent hydrocele was also confirmed microscopically. Results NA Conclusion This unique and interesting case could help identify similar patients where a partial orchiectomy with a confirmatory frozen section might be considered instead of a radical orchiectomy.