Angiofibrolipoma of the spermatic cord.

I am Dr Qing-Li Liu, from the Department of Urology of the First Hospital of Qinhuangdao in Qinhuangdao, Hebei Province, China. I write to present a case report of spermatic cord angiofibrolipoma. Angiofibrolipoma is a histological variant of lipoma, which usually presents as a solitary, subcutaneous, circumscribed lesion in the back, neck or shoulders. Here, we report a case of angiofibrolipoma of the spermatic cord. To our knowledge, such a case has not been previously reported in the literature. A 3-year-old boy presented with a right inguinal mass that had first been noticed 1 month earlier. On physical examination, the mass was located in the right spermatic cord and felt elastic, with no tenderness. The transillumination test was negative. Ultrasonography of the spermatic cord revealed a cystic-solid echo mass lesion, 2.5 cm in diameter, with minimum blood flow. Under general anaesthesia, a 3-cm inguinal oblique incision was made and the spermatic cord was isolated and occluded with a noncrushing clamp at the level of the internal ring. A tumour was found under