Scrotal pain as the first manifestation of scrotal leiomyoma: a case report.
Primary scrotal leiomyoma is derived from smooth muscle cells of tunica dartos. A 37-year-old Thai man, barber by profession, presented with left scrotal pain and subsequently, a solid mass is reported. As a relatively rare neoplasm, the initial diagnosis and differential diagnosis are intricate. The management was surgical excision. The well circumscribed 1 cm mass appeared as homogeneous, whorled-like, with interlacing fascicles of spindled muscle cells, and a strong positive desmin immunoreactivity. Upon follow-up, pain had disappeared one year after surgery. Reassurance and careful re-examination to reduce anxiety was also needed.
Departmant of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. rasps@mahidol.ac.th
Somjit
S
Prueksaritanond
Suartcha
S
Prueksaritanond
Samrerng
S
Ratanarapee
Churdsak
C
Prueksaritanond
D000328:Adult; D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery; D008297:Male; D009130:Muscle, Smooth; D012611:Scrotum / Q000473:pathology*; D016896:Treatment Outcome