Title : Inguinal swellings with diagnostic challenge
Abstract:
This case series explains rare cases of inguino-scrotal/labial swellings that pose diagnostic challenges. Although rare, these swellings are important considerations in the differential diagnosis in both the sexes.
CASE REPORT-1
Angiomyofibroblastoma is an uncommon benign mesenchymal tumor. It occurs mostly in the vulvovaginal area of women, but can also be observed in men. The World Health Organization, 2020, reclassified these tumors as a specific type of tumor in the category of fibroblastic and myofibroblastic tumors. In women it is found in the female genital tract, vulva, posterior perivesical space and in men the spermatic cord. This entity in male genitalia is exceedingly rare and has been described as its female analog or under the name of male Angiomyofibroblastoma are known to occur in regions such as the inguinal area, scrotum and perineum. Angiomyofibroblastoma of the male genital tract is a rare tumor with only 20 cases reported in the literature to date. We are describing a case of left inguinal region angiomyofibroblastoma that was found postero-medial to spermatic cord and was treated surgically and confirmed histopathologically.
CASE REPORT- 2
Round ligament tumors are rare which includes leiomyomas, mesothelial cysts and some cases of endometriosis. Leiomyomas are the commonest of them. These usually present as an inguinal swelling mimicking an inguinal hernia or a lymph node. We are describing a case of a 47 year old lady who presented with a right sided labial swelling with lower abdominal pain and had surgical intervention for the same. A round ligament leiomyoma was confirmed by histopathology.
