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ÄáÆÏÀÇ »ç½¿»Ô °á¼®¿¡ µ¿¹ÝµÈ °Å´ë¼¼Æ÷ Á¾¾ç À¯»ç Áõ½ÄÁõ - 1¿¹ º¸°í - Smooth Muscle Hyperplasia of the Epididymis - Report of A Case and Review of the Literature -

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±èÇѼº ( Kim Han-Seong ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø º´¸®°ú

°ûÁöÀº ( Kwak Ji-Eun ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø º´¸®°ú
Àå¼±Èñ ( Chang Sun-Hee ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø º´¸®°ú
Á¶¼º¿ë ( Cho Soung-Yong ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºñ´¢±â°úÇб³½Ç
Áֹ̠( Joo Mee ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø º´¸®°ú
½É»óÈ­ ( Shim Sang-Hwa ) 
ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø º´¸®°ú

Abstract


A 66-year-old man underwent surgery to remove an incidentally discovered non-tender intrascrotal mass. Ultrasonography revealed an irregular-margined, heterogeneous mass-like lesion in the epididymal tail. The mass was relatively well circumscribed but unencapsulated, irregular and firm; it consisted of expansile, increased smooth muscle fascicles originating from the epididymal muscular coat. Its cellular growth pattern lacked the cohesive, well-circumscribed proliferation pattern typical of a leiomyoma. A diagnosis of smooth muscle hyperplasia of the epididymis was made. Although ultrasonography is the imaging modality of choice for evaluating suspected intrascrotal masses, there are times when it cannot reliably identify the character of the masses and distinguish malignant from benign lesions. Ill-defined, solid extratesticular masses, that are ultrasonographically ambiguous, should be excised and confirmed histopathologically and smooth muscle hyperplasia of the epididymis should be included in the differential diagnosis of solid extratesticular masses.

Å°¿öµå

Kidney;Giant cell tumors;Cell proliferation;Calculi

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