Cases Journal


Open Access Case Report

A rare symplastic or bizarre leiomyoma of the scrotum: a case report and review of the literature

Junaid Masood1*, Stelios Voulgaris1, Peter Atkinson2 and Tom W Carr1

Author Affiliations

1 Department of Urology, Southend University Hospital, Essex, UK

2 Department of Pathology, Southend University Hospital, Essex, UK

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Cases Journal 2008, 1:381 doi:10.1186/1757-1626-1-381

Published: 9 December 2008

Abstract

Background

We present a case of a symplastic or "bizarre" leiomyoma of the scrotum. Isolated cases of leiomyomas have been reported arising from the renal pelvis, bladder, spermatic cord, epididymis, prostate as well as the glans penis. However such mesenchymal lesions of the scrotum are very rare.

Case presentation

Macroscopically the tumour was a well-circumscribed grey-white lesion 8.5 cm in size. Because of its peculiar histological characteristics this tumour was assigned as a symplastic or bizarre leiomyoma of the scrotum.

Conclusion

We present this unusual tumour and highlight some important diagnostic and treatment pitfalls related to this rare tumour. This case demonstrates that leiomyomas should be considered in the differential diagnosis of scrotal tumours.