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Leiomyoma of the epididymis treated with partial epididymectomy
Michael J Fumo1, Osama Al Assi, Stephen Liroff
1Vattikuti Urology Institute at the Henry Ford Hospital, Detroit, MI 48202, USA. mfumo1@hfhs.org
Background:
A 56-year-old man presented to a urology clinic with a painless left-testicular mass of unknown duration. On physical examination, a firm mass measuring 2 cm x 2 cm and involving the inferior portion of the left epididymis was found. The left testicle, right testicle, and right epididymis looked normal on examination.
Investigations:
Assessment of tumor-marker levels, ultrasound examination of the scrotum, Doppler ultrasound examination, surgical exploration, and histologic examination of frozen sections.
Diagnosis:
Pure leiomyoma arising from the epididymis.
Management:
Complete excision of the mass with its contiguous epididymis, preserving the left testicle and rest of the epididymis.
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