J Korean Med Sci.  2003 Jun;18(3):452-454. 10.3346/jkms.2003.18.3.452.

Bizarre Leiomyoma of the Scrotum

Affiliations
  • 1Department of Pathology, Kangnam General Hospital Public Corporation, Seoul, Korea.
  • 2Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jhhan@smc.samsung.co.kr

Abstract

Scrotal leiomyomas with atypical bizarre nuclei are rare, which might be misdiagnosed as malignant tumor. We describe a case of scrotal bizarre leiomyoma in a 65-yr-old man. The tumor was a 1 cm-sized, well circumscribed, oval mass arising from the tunica dartos muscle. Histologically, it was formed by whorling bundles of fusiform cells with occasional atypical, pleomorphic nuclei and pseudoinclusions. Mitosis was not found. Although morphologically atypical, scrotal bizarre leiomyomas take on a biologic behavior not different from that of conventional leiomyoma, they should be distinguished from leiomyosarcoma to avoid unnecessary treatment.

Keyword

Neoplasms, Muscle tissue; Leiomyoma; Scrotum; Tunica dartos

MeSH Terms

Aged
Genital Neoplasms, Male/*pathology/surgery
Human
Leiomyoma/*pathology/surgery
Male
Scrotum/*pathology
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