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Leiomyoma of the epididymis treated with partial epididymectomy

Nature Clinical Practice Urology volume 3, pages 504–507 (2006)Cite this article

Abstract

Background A 56-year-old man presented to a urology clinic with a painless left-testicular mass of unknown duration. On physical examination, a firm mass measuring 2 cm × 2 cm and involving the inferior portion of the left epididymis was found. The left testicle, right testicle, and right epididymis looked normal on examination.

Investigations Assessment of tumor-marker levels, ultrasound examination of the scrotum, Doppler ultrasound examination, surgical exploration, and histologic examination of frozen sections.

Diagnosis Pure leiomyoma arising from the epididymis.

Management Complete excision of the mass with its contiguous epididymis, preserving the left testicle and rest of the epididymis.

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Figure 1: Ultrasound images.
Figure 2: Hematoxylin and eosin stain for nuclear and cytoplasmic components of the cell (×20).
Figure 3: HHF-35 immunostain for smooth-muscle actin (×20).

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Author information

Authors and Affiliations

  1. senior resident at the Vattikuti Urology Institute,

    Michael J Fumo, Osama Al Assi & Stephen Liroff

  2. staff pathologist in the Department of Pathology,

    Michael J Fumo, Osama Al Assi & Stephen Liroff

  3. senior staff urologist at the Vattikuti Urology Institute at the Henry Ford Hospital, Detroit, MI, USA

    Michael J Fumo, Osama Al Assi & Stephen Liroff

Authors
  1. Michael J Fumo
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  2. Osama Al Assi
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  3. Stephen Liroff
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Corresponding author

Correspondence to Michael J Fumo.

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The authors declare no competing financial interests.

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Fumo, M., Assi, O. & Liroff, S. Leiomyoma of the epididymis treated with partial epididymectomy. Nat Rev Urol 3, 504–507 (2006). https://doi.org/10.1038/ncpuro0578

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  • DOI: https://doi.org/10.1038/ncpuro0578

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