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Case ReportOpen Access
Scrotal Pain as the First Manifestation of Scrotal Leiomyoma: A Case Report
Prueksaritanond S 
,
Prueksaritanond S ,
Ratanarapee S ,
Prueksaritanond C
,
Prueksaritanond S ,
Ratanarapee S ,
Prueksaritanond C Primary scrotal leiomyoma is derived from smooth muscle cells of tunica dartos. A 37-year-old Thai man, barber
by profession, presented with left scrotal pain and subsequently, a solid mass is reported. As a relatively rare neoplasm, the
initial diagnosis and differential diagnosis are intricate. The management was surgical excision. The well circumscribed 1 cm
mass appeared as homogeneous, whorled-like, with interlacing fascicles of spindled muscle cells, and a strong positive
desmin immunoreactivity. Upon follow-up, pain had disappeared one year after surgery. Reassurance and careful
re-examination to reduce anxiety was also needed.
Keywords: Leiomyoma, Scrotum, Pain, Smooth muscle tumor, Tunica dartos
by profession, presented with left scrotal pain and subsequently, a solid mass is reported. As a relatively rare neoplasm, the
initial diagnosis and differential diagnosis are intricate. The management was surgical excision. The well circumscribed 1 cm
mass appeared as homogeneous, whorled-like, with interlacing fascicles of spindled muscle cells, and a strong positive
desmin immunoreactivity. Upon follow-up, pain had disappeared one year after surgery. Reassurance and careful
re-examination to reduce anxiety was also needed.
Keywords: Leiomyoma, Scrotum, Pain, Smooth muscle tumor, Tunica dartos
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