Abstract Introduction Scrotal leiomyomas are rare tumours which are essentially benign.Recurrence and malignant transformation to leiomyosarcoma have been reported.However, a specific subgroup with increased bizarre nuclei showing increased mitosis raises the need for a closer follow-up.We report on such a case.
Case presentation We report the case of a 65-year-old man who underwent a CD Wire Harness scrotal lump excision.Histology showed a well defined leiomyoma.The presence of nuclear pleomorphism and mitoses, just falling short of the criteria for malignancy, made prediction of biological behaviour difficult.The patient remains well on 4-year follow-up.
Conclusion Histological evidence Splash Mat of increased mitosis raises the need for sustained follow-up in view of the malignant potential from the extent of mitosis.Immunohistochemistry helps in identifying those patients warranting close follow-up.