title: Angiofibroma of the spermatic cord: a case report and a review of the literature.
abstract: BACKGROUND
  Cellular angiofibroma is a benign vascular neoplasm that typically arises in the paratesticular region in men and is easily confused with inguinal or scrotal hernia.
  
  
  METHODS
  We present a case of a cellular angiofibroma arising from the spermatic cord of a 74-year-old Caucasian man. Initially, the lesion was confused with a scrotal hernia, but imaging revealed a subcutaneous, inhomogeneous, but well-circumscribed lesion to the surrounding tissues with rich vasculature. Surgical resection of the lesion was performed. Histology revealed a benign tumor of vascular origin rich in fibroblasts.
  
  
  CONCLUSIONS
  Angiofibroma can easily be confused with an inguinal hernia and should be differentiated from Schwann cell tumors, perineuromas, spindle-cell lipomas, aggressive angiomyxomas, angiomyofibroblastomas, solitary fibrous tumors, spindle-cell liposarcomas, and leiomyomas. A safe initial diagnosis is difficult because of its location, nature, and correlation with other structures of the area.
authors: First Department of Surgery, Tzaneion General Hospital, 1 Zanni & Afentouli Street, 18536 Piraeus, Greece. drmarinis@gmail.com.
authors: Panagiotis
authors: P
authors: Dikaiakos
authors: Adamantia
authors: A
authors: Zizi-Sermpetzoglou
authors: Spyros
authors: S
authors: Rizos
authors: Athanasios
authors: A
authors: Marinis