Dell'Aversana Serena, Stanzione Arnaldo, Romeo Valeria, Caggiano Marcello, Gisonni Pietro, Insabato Luigi, Maurea Simone
Department of Advanced Biomedical Sciences, University of Naples Federico II, Italy.
Radiol Case Rep. 2019 Mar 7;14(5):591-594. doi: 10.1016/j.radcr.2019.02.019. eCollection 2019 May.
Paratesticular leiomyoma is a rare benign neoplasm that may arise from smooth muscle cells contained in either the epididymis, the spermatic cord, or the tunica albuginea. Usually patients present a palpable, asymptomatic mass, with a higher prevalence among the fourth and fifth decade of life. In this case report we describe a 57-year-old man with bilateral scrotal palpable masses evaluated with ultrasound and magnetic resonance imaging that were suggestive for leiomyoma. The lesions were surgically removed and pathology revealed no signs of malignancy confirming the diagnostic hypothesis of leiomyoma. Ultrasound is considered the imaging modality of choice for the initial evaluation of testicular masses since it allows an accurate localization (ie testicular vs paratesticular) and can identify signs of malignancy. Magnetic resonance imaging is less frequently performed but can considerably improve lesion characterization.
睾丸旁平滑肌瘤是一种罕见的良性肿瘤，可能起源于附睾、精索或白膜中的平滑肌细胞。通常患者会出现可触及的无症状肿块，在40至50岁之间的人群中患病率较高。在本病例报告中，我们描述了一名57岁男性，双侧阴囊可触及肿块，通过超声和磁共振成像进行评估，提示为平滑肌瘤。病变通过手术切除，病理检查未发现恶性迹象，证实了平滑肌瘤的诊断假设。超声被认为是睾丸肿块初始评估的首选成像方式，因为它可以进行准确的定位（即睾丸与睾丸旁），并能识别恶性迹象。磁共振成像较少使用，但可以显著改善病变的特征描述。
