Spermatic Cord Leiomyoma.
- Author:
Min Kyu PARK
1
;
Se Jeong JANG
;
Seung Yeob OH
;
Ju Hak LIM
;
Soo Jin JUNG
;
Jae Il CHUNG
Author Information
1. Department of Urology, College of Medicine, Inje University, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Leiomyoma;
Spermatic cord;
Lipoma;
Retroperitoneal space
- MeSH:
Angiography;
Diagnosis;
Hernia, Inguinal;
Hypertension;
Leiomyoma*;
Lipoma;
Muscle, Smooth;
Physical Examination;
Recurrence;
Retroperitoneal Space;
Spermatic Cord*;
Tomography, X-Ray Computed;
Urogenital System;
Urography
- From:Korean Journal of Urology
2005;46(3):310-313
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spermatic cord leiomyoma is an uncommon disease. A leiomyoma can originate anywhere, including the genitourinary system, where smooth muscle is present. 70 and 30% of spermatic cord leiomyomas are benign and malignant, respectively. The preoperative diagnosis of a leiomyoma is difficult; the only definite diagnostic method is histological confirmation. A retroperitoneal lipoma probably constitutes the largest group of solid abdominal tumors. However, their etiology is unknown and the symptoms insidious, and recurrences and sarcomatous changes frequently occur. The clinical diagnostic methods are the clinical symptoms, a physical examination and radiological evaluations, such as intravenous urography, computed tomography and angiography, and so on, but an abdominal CT scan provides the most useful information. A fifty-six-old man presented with a five-month history of a suddenly enlarging right inguinal mass. He had undergone a right inguinal hernia operation, with medication for hypertension. Herein, a rare case of a huge retroperitoneal lipoma, with a spermatic cord leiomyoma, is reported.
