title: Imaging findings of angiomyxolipoma of the spermatic cord mimicking inguinal hernia.
abstract: We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia. Ultrasonography (US) and computed tomography (CT) demonstrated a right inguinal mass, including myxoid and fat component, extending from the right spermatic cord to the right inguinal subcutaneous layer. Mass excision was performed, and the diagnosis turned out to be angiomyxolipoma. Angiomyxolipoma is a rare tumor and the preoperative diagnosis of this disease is very difficult. However, angiomyxolipoma of the spermatic cord should be considered in the differential diagnosis in patients with an irreducible inguinal mass. Imaging diagnosis, such as US and CT may help to make a preoperative diagnosis.
authors.affiliation: Department of Radiology, Hallym University College of Medicine, Kangnam Sacred Heart Hospital, Seoul 150-950, Korea.
authors.forename: Hyun Suk
authors.initials: HS
authors.lastname: Cho
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Woo
authors.forename: Hye-Suk
authors.initials: HS
authors.lastname: Hong
authors.forename: Ik
authors.initials: I
authors.lastname: Yang
authors.forename: Yul
authors.initials: Y
authors.lastname: Lee
authors.forename: Ah Young
authors.initials: AY
authors.lastname: Jung
authors.forename: Dae Hyun
authors.initials: DH
authors.lastname: Yang
authors.forename: Ji Won
authors.initials: JW
authors.lastname: Kim
authors.forename: Jeong Won
authors.initials: JW
authors.lastname: Kim
mesh_terms: D000368:Aged; D018206:Angiolipoma / Q000000981:diagnostic imaging* / Q000473:pathology; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000473:pathology; D013085:Spermatic Cord / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
keywords: Angiomyxolipoma; CT; Inguinal hernia; Spermatic cord; US