Cellular Angiofibroma of the Inguinoscrotal Region with Cytologic Atypia and Abundant Adipose Tissue Simulating Liposarcoma: A Case Report

A 60 year-old man presented with a one month history of a non-tender, painless, and growing lesion in the inguinoscrotal area that progressively became painful before he presented to medical attention. On clinical examination, a trans-illuminating scrotal mass is found in the scrotum that does not appear to be attached to the epididymis or the testicle. A scrotal ultrasound revealed a solid, heterogeneous and hypervascular 2.5 cm extra testicular mass in the left lower testicular pole. A scrotal exploration was undertaken with excision of the mass. Grossly, the lesion measured 3 x 2 x 1.5 cm, was gray-tan, firm, well circumscribed, and attached to the spermatic cord. Cut surface of the mass was pink-tan and firm to solid in consistency.