Conclusion The preoperative diagnosis of angioleiomyoma of epididymis and tunica vaginalis was difficult,definite diagnosis depend on pathology.Surgery is the most effective method.

• 结论附睾及睾丸鞘膜血管平滑肌瘤的术前诊断较困难，确诊需经病理学检查，手术切除是最佳的治疗方法。