Scrotal Leiomyoma: A Case Report of a Rare Intra-Scrotal Benign Mass

Abstract

Introduction: Scrotal leiomyoma is a rare benign mesenchymal neoplasm that originates from smooth muscles. Up to now, the exact tumor properties remain unclear. Case: A 53-year-old male presented with intermittent mild pain and constant heaviness in the right scrotum for 1 year. The physical examination revealed a 6.5 cm by 5.5 cm by 5.5 cm sized, firm, mobile and non-tender lump within the inferior right scrotum. The ultrasound examination revealed a well-circumscribed and heterogenous hypoechoic tumor. MR imaging showed isointense on T1- weighted images, hypointense on T2-weighted images, and mild enhancement on post-contrast sequences. Then, he received simple tumor excision and further pathological examination demonstrated the diagnosis of typical leiomyoma. Conclusion: A full understanding of these rare tumor properties is the key to administering optimal treatment.

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

“…Patients usually present with painless, small, solitary cutaneous lesions. The painless nature aligns with the tumor's slow growth, exerting pressure on nerves rather than compressing them [6][7][8][9][10][11]. While the exact etiology remains unclear, hormonal factors and genetic predispositions have been proposed as potential contributors.…”