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. Ultra- sound 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.

MR imaging of paratesticular bilateral leiomyoma: A case report / Dell'Aversana, S.; Stanzione, A.; Romeo, V.; Caggiano, M.; Gisonni, P.; Insabato, L.; Maurea, S.. - In: RADIOLOGY CASE REPORTS. - ISSN 1930-0433. - 14:5(2019), pp. 591-594. [10.1016/j.radcr.2019.02.019]

MR imaging of paratesticular bilateral leiomyoma: A case report

Dell'Aversana S.;Stanzione A.;Romeo V.;Insabato L.;Maurea S.
2019

Abstract

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. Ultra- sound 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.
2019
MR imaging of paratesticular bilateral leiomyoma: A case report / Dell'Aversana, S.; Stanzione, A.; Romeo, V.; Caggiano, M.; Gisonni, P.; Insabato, L.; Maurea, S.. - In: RADIOLOGY CASE REPORTS. - ISSN 1930-0433. - 14:5(2019), pp. 591-594. [10.1016/j.radcr.2019.02.019]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/754535
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