Paratesticular Leiomyoma – A Case Report - Abstract
Objective: to describe a conservative approach of a paratesticular leiomyoma, an unusual diagnosis among scrotal tumors.
Methods: A hypogonadic 55 year-old man, complaining of gradual and painless growth of the right scrotum. Studies were done, and surgery was indicated, with the possibility of orchiectomy.
Results: Through an inguinal approach, with transient clamping of the inguinal cord, after a thorough local examination, lesion was excised, preserving the testicle. Imaging and laboratory postoperative controls were normal.
Conclusion: When facing scrotal lesions, surgery must be planned as an oncologic procedure (inguinal approach, clamping of the cord); however, if testicle and inguinal cord are not compromised, the lesion does not appear to be malignant and can be properly dissected, a conservative surgery can be done.