Scrotal leiomyoma: An uncommon cause of chronic scrotal swelling

Adil, Hajar; Mrabti, Mohamed; Semedo, Arthur; Fenni, J. El; Abdellaoui, Mohamed

doi:10.1016/j.radcr.2021.06.062

Cited by 3 publications

(4 citation statements)

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“…Previously, Adil et al (2021) reported a case of scrotal leiomyoma in an 82-year-old male with a left scrotal mass persisting for 3 years. Imaging studies revealed a left paratesticular mass, and surgery confirmed the histopathological features consistent with scrotal leiomyoma [12]. Egharevba et al ( 2020) also presented a case of scrotal leiomyoma in a 39-year-old male with a progressive right-sided hemiscrotal swelling over one year, which was excised, and histopathology revealed scrotal leiomyoma [13].…”

Section: Discussionmentioning

confidence: 93%

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

Sana Ahuja,

Verma,

Aziz Khan

et al. 2024

ann urol oncol

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Leiomyomas, originating from smooth muscle cells, are common in the uterus but rare in the scrotum, presenting a clinical challenge. Scrotal leiomyomas, first described in the 19th century, are characterized by benign pathology from the subcutaneous dartos muscle. We present two cases of middle-aged males with scrotal leiomyomas, detailing clinical presentations, histopathological findings, and immunohistochemistry results. The first involved a 48-year-old with a painless scrotal lump, excised to reveal well-circumscribed smooth muscle bundles. Immunohistochemistry confirmed vimentin, desmin, and smooth muscle actin (SMA) positivity, consistent with scrotal leiomyoma. The second case featured a 25-year-old with a painless scrotal swelling, histologically matching the features of scrotal leiomyoma. Accurate diagnosis is crucial for guiding appropriate management strategies. Clinicians often employ a combination of clinical evaluation, imaging studies, and histopathological examination to confirm the presence of scrotal leiomyomas. Ultrasound remains a valuable tool for assessing the size, location, and vascularity of the tumor, aiding in the formulation of a differential diagnosis. Definitive diagnosis, however, relies on histological examination, which typically reveals spindle-shaped smooth muscle cells arranged in interlacing bundles.

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Section: Discussionmentioning

confidence: 93%

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

Sana Ahuja,

Verma,

Aziz Khan

et al. 2024

ann urol oncol

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“…On MRI, scrotal leiomyomas, like leiomyomas arising in the uterus, show low signal intensity on T2WI, reflecting smooth muscle [18,19]. In the case of Dartos fascia origin, the mass is observed to be in contact with the Dartos fascia on MRI (Fig.…”

Section: Scrotal Leiomyomamentioning

confidence: 99%

“…Although leiomyomas are known to arise from the uterus, scrotal leiomyomas are very rare in men. Scrotal leiomyomas are usually painless slow-growing masses [18]. It can occur at any age but is most likely to occur in individuals in their 40 s [2].…”

Section: Scrotal Leiomyomamentioning

confidence: 99%

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Extratesticular masses focusing on MRI findings

Edo,

Yagi,

Mizuno

et al. 2024

Jpn J Radiol

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Scrotal masses, whether cystic or solid lesions, are routinely evaluated using ultrasonography. Magnetic resonance imaging (MRI) may be used for further investigation in cases with atypical findings, difficult diagnoses, large masses, and/or unclear relationships with the surrounding tissues. Scrotal solid masses are divided into intra- and extra-testicular masses. A staggering 90% of the intratesticular masses are malignant, whereas 75% of extratesticular masses are benign. Extratesticular masses are less common than intratesticular masses; however, some extratesticular masses present characteristic MRI findings. Familiarity with these specific MRI features of extratesticular masses is beneficial to radiologists, as appropriate diagnoses can help avoid unnecessary invasive treatments such as orchiectomy. In this review, we describe fibrous pseudotumors, polyorchidism, adenomatoid tumors, and scrotal leiomyoma as benign paratesticular masses, focusing on their characteristic imaging features on MRI. Although these tumors are extremely rare, their MRI findings are distinctive, and accurate diagnoses can prevent unnecessary orchiectomy. In addition, to demonstrate the pitfalls of diagnosing extratesticular masses, we present a case of seminoma misidentified as extratesticular masses due to large extensions outside the testis. Spermatic cord sarcoma, including rhabdomyosarcoma, leiomyosarcoma, and liposarcoma, and metastasis to the spermatic cord are described as malignant extratesticular masses. This review focused on extratesticular masses and elaborates the imaging findings that can aid in the accurate diagnosis using MRI.

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

Wang

2023

CMIR

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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.

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Scrotal leiomyoma: An uncommon cause of chronic scrotal swelling

Cited by 3 publications

References 9 publications

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

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

Extratesticular masses focusing on MRI findings

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

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