title: Epididymal leiomyoma: a benign intrascrotal tumour.
abstract: Physicians will be rarely confronted with epididymal tumours. These represent only 5% of intrascrotal tumours and are mostly (75%) benign. We report the case of a 50-year-old white male who was presented with a 5-year history of a slow-growing, left scrotal mass, noted through self-examination. Ultrasound study of the scrotum identified a well-circumscribed paratesticular mass. On inguinal surgical exploration, a solid, encapsulated, grey-white mass at the tail of the left epididymis was identified and excised, with intra-operative pathological consultation showing no signs of malignancy. The diagnosis of an epididymal leiomyoma was determined through subsequent immune-histopathological analysis. Diagnostic steps preceding operative exploration of a paratesticular, epididymal tumour are briefly analysed and physicians are encouraged to avoid a radical approach, without prior pathological consultation. Epididymal leiomyomas are benign tumours that can be cured through simple, organ-preserving surgical excision.
authors.affiliation: Department of Urology, University Hospital RWTH Aachen, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Marcou
authors.affiliation: Department of Urology, University Hospital RWTH Aachen, Germany.
authors.forename: V
authors.initials: V
authors.lastname: Perst
authors.affiliation: Institute of Pathology, University Hospital RWTH Aachen, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Cacchi
authors.affiliation: Department of Urology, University Hospital RWTH Aachen, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Lehnhardt
authors.affiliation: Department of Urology, University Hospital RWTH Aachen, Germany.
authors.forename: T-A
authors.initials: TA
authors.lastname: Vögeli
mesh_terms: D004822:Epididymis / Q000000981:diagnostic imaging / Q000473:pathology*; D005834:Genital Neoplasms, Male / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
keywords: epididymis; leiomyoma; paratesticular; scrotal mass; scrotal tumour