title: Rare presentation of a testicular angiofibroma treated with testis sparing surgery.
abstract: BACKGROUND
  Testicular benign tumors are very rare (&lt; 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Clinica Urologica, Scuola di Specializzazione in Urologia, Università Politecnica delle Marche, Ancona. galosiab@yahoo.it.
authors.forename: Luca
authors.initials: L
authors.lastname: Leone
authors.forename: Paola
authors.initials: P
authors.lastname: Fulvi
authors.forename: Giulia
authors.initials: G
authors.lastname: Sbrollini
authors.forename: Alessandra
authors.initials: A
authors.lastname: Filosa
authors.forename: Enrico
authors.initials: E
authors.lastname: Caraceni
authors.forename: Angelo
authors.initials: A
authors.lastname: Marronaro
authors.forename: Andrea B
authors.initials: AB
authors.lastname: Galosi
mesh_terms: D018322:Angiofibroma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods