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[Bilateral simultaneous epididymal leiomyoma: a case report].
T Kimura1, H Kiyota, T Hasegawa
1Department of Urology, Jikei University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|February 24, 1999
Summary
Primary epididymal leiomyoma, a rare condition, presented as simultaneous bilateral nodules in a 61-year-old man. Surgical removal confirmed the diagnosis, highlighting this unusual presentation of epididymal leiomyoma.
Area of Science:
- Urology
- Pathology
- Oncology
Background:
- Primary epididymal leiomyoma is an uncommon benign smooth muscle tumor.
- Leiomyomas typically arise in the uterus but can occur in other locations.
Observation:
- A 61-year-old male presented with bilateral, painless scrotal nodules.
- Nodules were located at the tail of each epididymis, measuring 12 mm (left) and 5 mm (right).
- The nodules progressively increased in size over an 18-month observation period.
Findings:
- Surgical excision of the nodules was performed due to their growth.
- Histological examination confirmed the diagnosis of primary leiomyomas of the epididymis.
- This case represents a rare instance of bilateral simultaneous occurrence.
Implications:
- This case expands the understanding of the rare occurrence of epididymal leiomyomas.
- It underscores the importance of considering leiomyomas in the differential diagnosis of scrotal masses.
- Further research may elucidate the specific etiology and behavior of epididymal leiomyomas.