title: A rare symplastic or bizarre leiomyoma of the scrotum: a case report and review of the literature.
abstract: BACKGROUND
  We present a case of a symplastic or "bizarre" leiomyoma of the scrotum. Isolated cases of leiomyomas have been reported arising from the renal pelvis, bladder, spermatic cord, epididymis, prostate as well as the glans penis. However such mesenchymal lesions of the scrotum are very rare.
  
  
  METHODS
  Macroscopically the tumour was a well-circumscribed grey-white lesion 8.5 cm in size. Because of its peculiar histological characteristics this tumour was assigned as a symplastic or bizarre leiomyoma of the scrotum.
  
  
  CONCLUSIONS
  We present this unusual tumour and highlight some important diagnostic and treatment pitfalls related to this rare tumour. This case demonstrates that leiomyomas should be considered in the differential diagnosis of scrotal tumours.
authors.affiliation: Department of Urology, Southend University Hospital, Essex, UK. junaido@aol.com.
authors.forename: Junaid
authors.initials: J
authors.lastname: Masood
authors.forename: Stelios
authors.initials: S
authors.lastname: Voulgaris
authors.forename: Peter
authors.initials: P
authors.lastname: Atkinson
authors.forename: Tom W
authors.initials: TW
authors.lastname: Carr