Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica · 2026
Paratesticular leiomyoma in the pediatric age.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Dardanelli C, Cotta E, Pinto C G, Roggero A, Orellano M, Gallino E, Denes E
Аннотация
INTRODUCTION: Paratesticular leiomyoma is an extremely rare benign neoplasm in the pediatric population, with variable clinical presentations that can mimic other scrotal pathologies.
CLINICAL OBSERVATION: We present two pediatric patients with paratesticular leiomyoma. The first case was an 11-year-old boy with a long-standing, asymptomatic paratesticular mass, initially suggestive of polyorchidism, approached via a scrotal incision. The second case was a 14-year-old adolescent who presented with testicular pain, with ultrasound findings suggestive of a neoformative process, which required an inguinal exploration. In both cases, complete excision of the lesion was performed, preserving the testicle, and the diagnosis was confirmed by pathology.
CONCLUSIONS: Paratesticular leiomyoma can pose diagnostic challenges in pediatrics. Complete excision is curative, and the prognosis is excellent.
CLINICAL OBSERVATION: We present two pediatric patients with paratesticular leiomyoma. The first case was an 11-year-old boy with a long-standing, asymptomatic paratesticular mass, initially suggestive of polyorchidism, approached via a scrotal incision. The second case was a 14-year-old adolescent who presented with testicular pain, with ultrasound findings suggestive of a neoformative process, which required an inguinal exploration. In both cases, complete excision of the lesion was performed, preserving the testicle, and the diagnosis was confirmed by pathology.
CONCLUSIONS: Paratesticular leiomyoma can pose diagnostic challenges in pediatrics. Complete excision is curative, and the prognosis is excellent.