Scrotal pain as the first manifestation of scrotal leiomyoma: a case report
Prueksaritanond, S.; Prueksaritanond, S.; Ratanarapee, S.; Prueksaritanond, C.
Journal of the Medical Association of Thailand 93(5): 633-636
2010
ISSN/ISBN: 0125-2208 PMID: 20524454 Document Number: 14830
Primary scrotal leiomyoma is derived from smooth muscle cells of tunica dartos. A 37-year-old Thai man, barber by profession, presented with left scrotal pain and subsequently, a solid mass is reported. As a relatively rare neoplasm, the initial diagnosis and differential diagnosis are intricate. The management was surgical excision. The well circumscribed 1 cm mass appeared as homogeneous, whorled-like, with interlacing fascicles of spindled muscle cells, and a strong positive desmin immunoreactivity. Upon follow-up, pain had disappeared one year after surgery. Reassurance and careful re-examination to reduce anxiety was also needed.
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