Bilateral Synchronous Paratesticular Leiomyoma : A Case Report

Alasmar, Ali; Aljader, Khalaf Awad

doi:10.12816/0004543

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…The etiology of leiomyomas remains unclear, thereby the origin of these tumors is also unknown, although some theories suggest the possibility of a reaction to inflammation or injury [6]. Paratesticular leiomyomas are rare benign tumors with the similar presentation as testicular tumors.…”

Section: Discussionmentioning

confidence: 99%

“…The uncertain preoperative diagnosis of paratesticular leiomyoma brings confusion to further surgical treatment because being misdiagnosed as a testicular tumor may result in an unnecessary radical orchidectomy [4]. Previous literatures on paratesticular leiomyoma were limited to case reports, and the most of the ultrasound imaging data were incomplete [5][6][7]. This study summarizes the features of paratesticular leiomyoma on ultrasound and color Doppler flow imaging.…”

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confidence: 99%

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Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma

Xue¹,

Chen²,

Wang³

et al. 2022

Advanced Ultrasound in Diagnosis and Therapy

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In this paper, we retrospectively analyzed the ultrasonographic features of paratesticular leiomyoma to help doctors correctly diagnose the disease before operation and guide surgical treatment. Methods:From 2013 to 2020, 16 cases of paratesticular leiomyomas confirmed by pathology in our hospital were retrospectively analyzed. The retrospective analysis included the ultrasound and color Doppler flow imaging (CDFI) of paratesticular leiomyoma which were evaluated by two experienced radiologists based on the features of ultrasound images of lesions.Results: All the 16 paratesticular leiomyoma presented as hypoechoic masses with a clear boundary and round shape. The echotexture of 6 large leiomyomas showed a typical vortex appearance. In the remaining 10 small leiomyomas, thin cordlike hyper-echogenic appearance was found. Color Doppler flow imaging showed that the blood flow signal within a large leiomyoma mass (n = 1) was significantly higher than that of surrounding testis while the blood flow signals of the smaller leiomyomas (n = 5) had significantly less flow signals compared with the testis. The remaining leiomyoma masses (n = 10) had similar flow signals to the testicular blood flow. Conclusion:Sonography can be used to detect testicular tumors and to differentiate extratesticular from intratesticular masses.The ultrasound features of paratesticular leiomyoma included hypo-and hyperechoic mass, a round or typical vortex shape as well as various vascularity based on the size of the tumors.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma

Xue¹,

Chen²,

Wang³

et al. 2022

Advanced Ultrasound in Diagnosis and Therapy

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show abstract

“…[2,4] Only a few cases are reported in the the paratesticular region, namely in the region from where isolated tissue originated, as in our case. [1,[4][5][6][7] These tumors may arise from the tunica dartos, and the superficial subcutaneous smooth muscle of the scrotum. [6] Paratesticular leiomyoma usually presents as a non-tender scrotal mass, and sometimes with local scrotal pain.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge few cases of paratesticular leiomyoma have been reported in the English literature so far. [1,[4][5][6][7]…”

Section: Introductionmentioning

confidence: 99%

A rare case of paratesticular leiomyoma in a child

Arslan

Ulus

İnce

et al. 2019

Turkish Journal of Urology

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Leiomyomas are benign, slow-growing, smooth muscle tumors, which can occur at many locations in the body. The male genitourinary tract is seldom affected and scrotal leiomyomas are extremely rare. Most of the scrotal leiomyomas are localized in the testis, epididymis, spermatic cord, subcutaneous tissue, tunica albuginea, and scrotal skin and only a few of them are reported in the origin of isolated tissue without paratesticular structures in the paratesticular region. We are presenting a case of solitary paratesticular leiomyoma in a child, which is very rare in terms of lesion location and patient age, and describing the imaging features of this lesion.

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“…In this population, leiomyoma with bizarre nuclei has a predilection for the fourth to seventh decade of life 5. No difference in incidence has been demonstrated between the right and the left testicle and they can present either as a bilateral lesion or as a unilateral lesion, with the latter occurring in more than 80% of cases 6. They can be pedunculated or present as a circumscribed mass.…”

Section: Introductionmentioning

confidence: 99%

Leiomyoma with bizarre nuclei of the scrotum: a rare entity

et al. 2022

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Leiomyomas of the paratesticular region are a rare entity. A subtype of leiomyomas called bizarre nuclei leiomyoma is even rarer and histologically present some interesting features that are important to recognise to make the differential diagnosis with its malignant counterpart—leiomyosarcoma. We present a case of a man in his 60s, who presented with a painless mass on the right testicle. The clinical diagnosis was of an epidermoid cyst. The mass was excised and a diagnosis of leiomyoma of bizarre nuclei was made.

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Bilateral Synchronous Paratesticular Leiomyoma : A Case Report

Cited by 4 publications

References 5 publications

Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma

Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma

A rare case of paratesticular leiomyoma in a child

Leiomyoma with bizarre nuclei of the scrotum: a rare entity

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