Haouane Mohamed Amine, Hajji Fouad, Ghoundale Omar, Azami Mohamed Amine
Department of Pathology, Faculty of Medicine and Pharmacy, Cadi Ayyad University/Ibn Sina Military Hospital, Marrakech, MAR.
Department of Urology, Cadi Ayyad University/Ibn Sina Military Hospital, Marrakech, MAR.
Cureus. 2023 Feb 19;15(2):e35173. doi: 10.7759/cureus.35173. eCollection 2023 Feb.
Leiomyomas are benign, slow-growing, mesenchymal neoplasms that originate from smooth muscle. We report a case of a 44-year-old man presented with an asymptomatic left scrotal mass. Scrotal ultrasonography (US) showed a 3.9 cm well-limited, hypoechoic intratesticular mass. The patient underwent a radical left orchiectomy and histologic findings revealed an intratesticular leiomyoma. To our best knowledge, so far, this is the 19 case of intratesticular leiomyoma to be reported in the literature. Furthermore, intraoperative frozen section examination should have been part of the management armamentarium in this case, leading to enhanced testicular preservation.
平滑肌瘤是起源于平滑肌的良性、生长缓慢的间叶性肿瘤。我们报告一例44岁男性,表现为无症状的左侧阴囊肿块。阴囊超声检查显示一个3.9厘米界限清楚的低回声睾丸内肿块。患者接受了左侧根治性睾丸切除术,组织学检查结果显示为睾丸内平滑肌瘤。据我们所知,这是文献中报道的第19例睾丸内平滑肌瘤。此外,术中冰冻切片检查本应是该病例治疗手段的一部分,从而提高睾丸保留率。