Work

Intravascular Myopericytoma of the Spermatic Cord in a 73-Year-Old Male: Report on Rare Entity in Unique Location

Year: 2026

Type: article

Abstract: Purpose: Myopericytomas are rare perivascular tumors, typically occurring in superficial soft tissues. The intravascular variant is extremely uncommon, particularly within the genitourinary tract. Case Presentation: We report a unique case of an intravascular myopericytoma located within the spermatic cord of a 73-year-old male with painless swelling of the left hemiscrotum of nine months duration, gradually increasing over previous six months. Surgical excision was performed. Histological evaluation revealed a well-circumscribed, multinodular tumor entirely confined to the venous channels of the spermatic cord, composed of oval-to-spindled cells concentrically arranged around vessels and embedded in myxoid stroma. Immunohistochemically, spindle cells showed diffuse positivity for SMA and h-caldesmon, focal desmin positivity, highlighting endothelial cells with CD31 and CD34. Conclusion: This case adds to the limited literature on intravascular myopericytomas and represents the first reported case involving the spermatic cord.

Source: Research and Reports in Urology

DOI: 10.2147/rru.s641553

Authors: Aleksandra Pečovnik, Luka Jerebic, Mark Šink, Metka Volavšek

Institutions: Splošna Bolnišnica Celje, Ljubljana University Medical Centre, University of Ljubljana

Language: English

Topic: Urologic and reproductive health conditions

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320