title: Leiomyoma of the tunica albuginea, a case report of a rare tumour of the testis and review of the literature.
abstract: BACKGROUND
  Leiomyomas are benign tumours that originate from smooth muscles. They are often seen in the uterus, but also in the renal pelvis, bladder, spermatic cord, epididymis, prostate, scrotum or the glans penis. Leiomyomas of the tunica albuginea are extremely rare.
  
  
  METHODS
  A 59-year-old white male has noted an asymptomatic tumour on the right side of his scrotal sac for several years. This tumour has increased slowly and caused local scrotal pain. An inguinal incision was performed, in which the hypoplastic testis, the epididymis and the tumour could be easily mobilized. Macroscopically the tumour showed a solid round nonencapsulated whorling cut surface. Histologically the diagnosis of a leiomyoma was made.
  
  
  CONCLUSIONS
  We report here a very interesting and rare case of a leiomyoma of the tunica albuginea. Leiomyomas can be a possible differential diagnosis in this area.
  http://www.diagnosticpathology.diagnomx.eu/vs/2585095378537599.
authors.affiliation: Department of Pathology, University Medical Centre Göttingen, Robert-Koch-Str, 40, Göttingen 37075, Germany. felix.bremmer@med.uni-goettingen.de
authors.forename: Felix
authors.initials: F
authors.lastname: Bremmer
authors.forename: Felix J
authors.initials: FJ
authors.lastname: Kessel
authors.forename: Carl L
authors.initials: CL
authors.lastname: Behnes
authors.forename: Lutz
authors.initials: L
authors.lastname: Trojan
authors.forename: Elmar
authors.initials: E
authors.lastname: Heinrich
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D006801:Humans; D007150:Immunohistochemistry; D007889:Leiomyoma / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013736:Testicular Neoplasms / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013737:Testis / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male
chemical_list: D014408:Biomarkers, Tumor