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Sonography of an Arteriovenous-Type Hemangioma of the Testis

Zina Ricci1, Mordecai Koenigsberg1 and Kathleen Whitney2

1 Department of Radiology, Montefiore Medical Center, 111 E. 210th St., Bronx, NY 10467.
2 Weiler Hospital, Albert Einstein College of Medicine, 1825 Eastchester Rd., Bronx, NY 10461.



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Fig. 1A. —30-year-old man with left-sided testicular mass. Longitudinal sonogram of left testis shows subtle demarcation (arrows) between heterogeneous mass and surrounding normal parenchyma. Hyperechoic calcifications are scattered throughout mass.

 


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Fig. 1B. —30-year-old man with left-sided testicular mass. Longitudinal color Doppler sonogram of left testis shows intensely increased flow pattern.

 


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Fig. 1C. —30-year-old man with left-sided testicular mass. Gross specimen of opened testis shows large pink and tan arteriovenous-type hemangioma. Note remaining normal testicular parenchyma (arrowheads).

 


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Fig. 1D. —30-year-old man with left-sided testicular mass. Photomicrograph shows large vascular channels surrounding residual seminiferous tubules (arrows). (H and E, x200)

 


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Fig. 1E. —30-year-old man with left-sided testicular mass. Photomicrograph stained for factor VIII reveals brown neoplastic vessels. (Avidin-biotin-peroxidase, x200)

 

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