title: [Monstrous scrotal leiomyoma: case report and literature survey].
abstract: The scrotal leiomyoma is a rare benign tumour, deriving from the smooth muscle. This tumour entity constitutes a differential diagnosis to malignant testicular tumours. Up to now, only 8 cases have been reported in the literature. We report on a 63-year-old European patient, presenting in our clinic for further treatment with a now monstrous mass of the left testis (about 8 kg) that has been growing for about 30 years, After partial scrotalectomy and orchiectomy pathological analysis confirmed a left-sided leiomyoma of the testicular/paratestical tissue. This case shows that even rare tumours should be included in the differential diagnosis of a testicular tumour.
authors.affiliation: Klinik für Urologie und Zentrum für minimalinvasive/robotische Chirurgie, Prosperhospital Recklinghausen.
authors.forename: A
authors.initials: A
authors.lastname: Winkel
authors.affiliation: Pathologisches Institut Recklinghausen.
authors.forename: K J
authors.initials: KJ
authors.lastname: Schmitz
authors.affiliation: Klinik für Urologie und Zentrum für minimalinvasive/robotische Chirurgie, Prosperhospital Recklinghausen.
authors.forename: D
authors.initials: D
authors.lastname: Kusche
mesh_terms: D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures; D012611:Scrotum / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed