Leiomyoma of the epididymis treated with partial epididymectomy.

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.