THE ,JOURNAL OF UROLOGY

Vol. 72, No. 5, November 1954

Printed in U.S.A.

HEMANGIOMA OF TESTIS AND EPIDIDYMIS

J. W. ROBERTSON AND S. PALITZ
From the Departments of Pathology and Surgery, Albert Einstein Medical Center, Northern
Division, Philadelphia, Pa.

Hemangioma of the testicle is a rare tumor. Despite the frequent occurrence

of this tumor in other parts of the body, only 4 cases of hemangioma of the
testicle have been reported.
The first case was recorded by Muto 1 in 1927. A 2 year old child had a
mass in the scrotum and another in the chest. The mass in the scrotum was re-
sected and found to be a hemangioma of the testicle. Later, resection of the
chest mass ·was attempted, with death of the child. The diagnosis of the chest
mass was lymphangioma.
In 1944 Moorehead and Thomas 2 reported the case of a 75 year old man with
a history of 6 months painful enlargement of the right testicle. It was enlarged,
firm and tender. The testicle was resected. It was completely replaced by firm
tissue so that no distinction could be made between the epididymis and testis.
The mass measured 8 by 6.5 by 4 cm. The diagnosis was cavernous hemangioma
of testicle, probably originating from the tunica vasculosa.
The same year A. H. Kleinman 3 reported the case of a 61 year old man with
painless progressive enlargement of the left scrotal contents, of 1 year's duration.
The testicle appeared two to three times normal size. It was firm, smooth and
nontender. Radiation was given, totaling 5300 r., followed 3 weeks later by
orchiectomy. Grossly the left testicle was only slightly larger than the right tes-
ticle. The tunica vaginalis was thickened. A dark red nodule measuring 2 cm.
in diameter was noted in the center of the testicle. The microscopic diagnosis
was hemangioma cavernosum.
The most recent case was reported by A. A. Rosenthal4 in 1946. An infant 3
months old had had a hydrocele since birth. There ·was no history of injury.
The hydrocele, which was transilluminated, was aspirated at intervals with re-
currence. Because of intractability of the hydrocele, and the danger of infection
or trauma to the testis from repeated aspiration, operation was advised. When
the tunica vaginalis was opened, the testis was bluish black in appearance but
not enlarged. It was thought to be gangrenous as a result of repeated trauma
from the aspirations, and, therefore, was resected. The specimen was an oval,
smooth, dark bluish-gray mass of tissue including the testis, epididymis and
wall of hydrocele sac. The testis and epididymis on section were dark bluish-
gray. The microscopic diagnosis was vascular and cavernous hemangioma of
testis and epididymis; hydrocele of the tunica vaginalis.
Because of the rarity of this tumor, we thought a case encountered recently
in this hospital should be reported.
1 Muto, M.: Mitt. u. Allg. Path. u. path. Anat. Tokyo, 4: 142, 1927.
2 Moorehead, R. P. and Thomas, W. C.: J. Urol., 51: 72, 1944.
3 Kleinman, A.H.: J. Urol., 51: 548, 1944.
4 Rosenthal, A.: J. Urol., 55: 542-544, 1946.

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