Ulcerated scrotal leiomyoma

A 74-years old patient is admitted to the hospital with a over a period of 4 years growing, scrotal, ulcerated tumor. There is no connection to the te sticle or the epididymis palpable. All laboratory findings including the tu morparameters are normal. The scrotal sonography shows a solid tumor, that is filled with vessels in the Doppler sonography The complete tumor resecti on with histological examination leads to the diagnosis of a scrotal leiomy oma. This rare, benign tumor is a differential diagnosis to paratesticular or non-germinal tumors.