Leiomyoma of Scrotum

Leiomyoma of Scrotum

Article
Skin Care
Diseases & Conditions
+1
Contributed byKrish Tangella MD, MBAOct 26, 2018

What are the other Names for this Condition? (Also known as/Synonyms)

  • Scrotal Leiomyoma

What is Leiomyoma of Scrotum? (Definition/Background Information)

  • Leiomyoma of Scrotum is a rare, benign mass that is present in the scrotum (bag-like structure of male genitalia that holds the testicles). A leiomyoma is a benign smooth muscle tumor that can develop anywhere in the body
  • Scrotal Leiomyomas are typically painless, solitary, and are observed to be well-circumscribed (in most cases). They are found in young, middle-aged, and older men
  • The treatment of choice is a surgical removal of the entire tumor. The prognosis is excellent with appropriate treatment

Who gets Leiomyoma of Scrotum? (Age and Sex Distribution)

  • Leiomyoma of Scrotum may affect males of any age, but is mostly present in the 30-60 years age range (young, middle, and elderly men)
  • There is no geographical, racial, or ethnic preference noticed; however, this condition is observed in Caucasians at a higher incidence than other races

What are the Risk Factors for Leiomyoma of Scrotum? (Predisposing Factors)

  • No risk factors are evident for Leiomyoma of Scrotum

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Leiomyoma of Scrotum? (Etiology)

  • The exact cause of Leiomyoma of Scrotum development is unknown
  • Research is being performed to understand the causative factors of this rare condition

What are the Signs and Symptoms of Leiomyoma of Scrotum?

The signs and symptoms of Leiomyoma of Scrotum include:

  • Most tumors occur as solitary, well-circumscribed masses (some are not well-circumscribed)
  • Scrotal Leiomyomas are generally not associated with pain
  • Some tumors may not present any significant signs and symptoms other than the mass

How is Leiomyoma of Scrotum Diagnosed?

The diagnosis of Leiomyoma of Scrotum may involve:

  • Complete physical examination with thorough evaluation of medical history
  • Ultrasound, CT, and MRI scans of the scrotum
  • Needle biopsy of tumor: A needle biopsy may not be helpful, because one may not be able to visualize the different morphological areas of the tumor. Hence, a needle biopsy as a diagnostic tool has certain limitations, and an open surgical biopsy is preferred
  • Open biopsy of tumor: A tissue biopsy is performed and sent to a laboratory for a pathological examination, who examines the biopsy under a microscope. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis
  • Differential diagnosis, to eliminate other tumor types is considered, before arriving at a definitive diagnosis

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Leiomyoma of Scrotum?

The possible complications of Leiomyoma of Scrotum include:

  • Stress and anxiety
  • Cosmetic issues

How is Leiomyoma of Scrotum Treated?

Following are the treatment methods for Leiomyoma of Scrotum:

  • Asymptomatic leiomyomas may not require any treatment
  • A simple surgical excision and removal of the entire tumor is normally sufficient treatment
  • Follow-up care with regular screening and check-ups are important

How can Leiomyoma of Scrotum be Prevented?

Current medical research has not established a way of preventing Leiomyoma of Scrotum.

What is the Prognosis of Leiomyoma of Scrotum? (Outcomes/Resolutions)

  • The prognosis of Leiomyoma of Scrotum is generally excellent on surgical excision and removal of the tumor
  • However, periodic follow-up check-ups with screening may be required

Additional and Relevant Useful Information for Leiomyoma of Scrotum:

Leiomyomas may also occur on the female genitalia including the vulva (vaginal opening entrance).

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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