Leiomyoma of scrotum, a case report of rare testicular tumour and review of literature

Leiomyoma is a benign tumour of smooth muscles. Most common site involved is uterus, but it is also seen in the renal pelvis, bladder, spermatic cord, epididymis, prostate and scrotum. Leiomyomas originating from the scrotum are extremely rare. We report a case of 60 year old man presented with right side scrotal swelling. On physical examination, a swelling measuring 4X4 cms palapable separately from the testis was revealed. Ultrasound also showed an echogenic and cystic tumour measuring 4X4 cms with normal testis. Excision of the tumour was done and subjected to histopathology which showed findings consistent with Leiomyoma. The diagnosis of solitary leiomyoma of scrotum was given which was confirmed by immunohistochemistry.