Intravascular Myopericytoma of the Spermatic Cord in a 73-Year-Old Male: Report on Rare Entity in Unique Location.
- 1Department for Pathology and Cytopathology, General Hospital Celje, Celje, 3000, Slovenia.
- 2Clinical Department for Urology, University Clinical Center Ljubljana, Ljubljana, 1000, Slovenia.
- 3Institute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, 1000, Slovenia.
Abstract
Myopericytomas are rare perivascular tumors, typically occurring in superficial soft tissues. The intravascular variant is extremely uncommon, particularly within the genitourinary tract. 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. This case adds to the limited literature on intravascular myopericytomas and represents the first reported case involving the spermatic cord.
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BibTeX
@article{pecovnik2026intravascular,
title = {{Intravascular Myopericytoma of the Spermatic Cord in a 73-Year-Old Male: Report on Rare Entity in Unique Location.}},
author = {Aleksandra Pečovnik and Luka Jerebic and Mark Šink and Metka Volavšek},
journal = {Research and reports in urology},
year = {2026},
month = oct,
doi = {10.2147/rru.s641553},
url = {https://europepmc.org/article/MED/42953407},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Intravascular Myopericytoma of the Spermatic Cord in a 73-Year-Old Male: Report on Rare Entity in Unique Location.
AU - Aleksandra Pečovnik
AU - Luka Jerebic
AU - Mark Šink
AU - Metka Volavšek
PY - 2026
DA - 2026/10/24
JO - Research and reports in urology
DO - 10.2147/rru.s641553
UR - https://europepmc.org/article/MED/42953407
AB - Myopericytomas are rare perivascular tumors, typically occurring in superficial soft tissues. The intravascular variant is extremely uncommon, particularly within the genitourinary tract. 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. This case adds to the limited literature on intravascular myopericytomas and represents the first reported case involving the spermatic cord.
SN - 2253-2447
ER -