Scrotal Pain as the First Manifestation of Scrotal Leiomyoma: A Case Report
Somjit Prueksaritanond MD*, Suartcha Prueksaritanond MD**, Samrerng Ratanarapee MD***, Churdsak Prueksaritanond MD****
Affiliation : * Departmant of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand ** Wachirathum Clinic-Lab, Bangkok, Thailand *** Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand **** Department of Surgery, Thai Nakarin Hospital, Bangkok, Thailand
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
