Leiomyoma of the Epididymis: A Case Report

不論是原發或繼發，良性或惡性，副睪丸的腫瘤都非常少見。腺樣瘤及平滑肌瘤是其中最常被診斷的。在歐美的文獻裡，平滑肌瘤雖是第二常被診斷的副睪丸腫瘤，但比例只有百分之六。我們在此提出一位罹患副睪丸平滑肌瘤的53歲男性病人，主訴為在左側陰囊內的無痛性團塊，時間已有四年之久。病人發現團塊逐漸的變大，但並無特別的不適感。手術探查可見到一個表面平滑、界限清楚的腫瘤，術中冷凍病理切片顯示為一良性病灶。手術的切除並未遭遇到困難，術後的組識病理檢查證實此診斷。我們將詳述此病人的細節並回顧相關的醫學文獻。

關鍵字

副睪平滑肌瘤；器官保留手術；陰囊腫塊；超音波

並列摘要

Tumors of the epididymis, both primary and secondary, and whether benign or malignant, are very rare. Adenomatoid tumors and leiomyoma are the most frequently diagnosed benign tumors of the epididymis. In a review of the American and European literature, leiomyoma was the second most common neoplasm of the epididymis, representing 6% of primary epididymal tumors. A case of leiomyoma of the epididymis in a 53-year-old patient is reported. The patient presented with a 4-year history of a painless mass in the left scrotum. There were no bothersome symptoms except gradual enlargement of the tumor. On surgical exploration, the mass was found to be smooth and well-demarcated. A fresh frozen section showed a benign lesion, and conservative excision of the tumor was performed without any difficulty. The leiomyoma was definitively diagnosed by subsequent histopathologic analysis. The details of this rare case are reported herein with a review of the medical literature.

並列關鍵字

epididymal leiomyoma ； organ-preserving operation ； scrotal mass ； sonography

國際替代計量

Leiomyoma of the Epididymis: A Case Report

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