{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:48Z","timestamp":1782384648121,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","award":["OAF-16089"],"award-info":[{"award-number":["OAF-16089"]}],"id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Paratesticular leiomyomas are rare benign mesenchymal tumors arising from smooth muscle of paratesticular tissues, including vascular walls, dartos muscle, and spermatic cord. Angioleiomyoma represents a vascular-rich subtype. They usually present as slow-growing, painless extratesticular masses in middle-aged men. Imaging helps localization but is not diagnostic while histopathology with immunohistochemistry confirms diagnosis. A 49-year-old motocross athlete presented with progressive scrotal enlargement causing discomfort. Examination showed a large encapsulated mass displacing normal testes. Computed tomography revealed a large heterogeneous paratesticular lesion with neoangiogenesis. The mass was excised and scrotoplasty was performed. Histology showed benign spindle cells, low Ki-67 (~3%), and positivity for desmin and CD34. This case emphasizes recognition and testis-sparing management of paratesticular leiomyoma, ensuring excellent outcomes without need for long-term surveillance.<\/jats:p>","DOI":"10.1093\/jscr\/rjag418","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:25:36Z","timestamp":1778585136000},"source":"Crossref","is-referenced-by-count":0,"title":["Unusual presentation of paratesticular leiomyoma with prominent vascular features: clinical, surgical, and histological insights"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6121-5158","authenticated-orcid":false,"given":"Mohannad N","family":"AbuHaweeleh","sequence":"first","affiliation":[{"name":"College of Medicine, QU Health, Qatar University , PO 2713, Doha ,","place":["Qatar"]},{"name":"Department of Urology, Ambulatory Care Center, Hamad Medical Corporation , PO 3050, Doha ,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Rabito","sequence":"additional","affiliation":[{"name":"Department of Urology, Mater Olbia Hospital , Olbia, Sardinia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"2026062506235607900_ref1","doi-asserted-by":"publisher","first-page":"102380","DOI":"10.1016\/j.eucr.2023.102380","article-title":"Paratesticular leiomyoma: a case report of a rare entity","volume":"47","author":"Hermi","year":"2023","journal-title":"Urol Case Rep"},{"key":"2026062506235607900_ref2","doi-asserted-by":"publisher","first-page":"1383","DOI":"10.1111\/andr.13021","article-title":"Paratesticular lesions: aetiology and appearances on ultrasound","volume":"9","author":"Rafailidis","year":"2021","journal-title":"Andrology"},{"key":"2026062506235607900_ref3","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/1746-1596-9-90","article-title":"Adult primary paratesticular mesenchymal tumors with emphasis on a case presentation and discussion of spermatic cord leiomyosarcoma","volume":"9","author":"Galosi","year":"2014","journal-title":"Diagn Pathol"},{"key":"2026062506235607900_ref4","doi-asserted-by":"publisher","first-page":"461","DOI":"10.5001\/omj.2015.90","article-title":"Histopathological Spectrum of tumor and tumor-like lesions of the paratestis in a tertiary care hospital","volume":"30","author":"Khandeparkar","year":"2015","journal-title":"Oman Med J"},{"key":"2026062506235607900_ref5","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1159\/000528821","article-title":"A case of bilateral synchronous paratesticular leiomyoma","volume":"16","author":"Ishikawa","year":"2023","journal-title":"Case Rep Oncol"},{"key":"2026062506235607900_ref6","doi-asserted-by":"publisher","first-page":"PD05","DOI":"10.7860\/JCDR\/2017\/25109.9518","article-title":"Bilateral synchronous paratesticular leiomyoma - a rare entity","volume":"11","author":"Fernandez","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"2026062506235607900_ref7","doi-asserted-by":"publisher","first-page":"119","DOI":"10.37015\/AUDT.2021.210022","article-title":"Ultrasound and color Doppler flow imaging of paratesticular leiomyoma","volume":"6","author":"Xue","year":"2022","journal-title":"Adv Ultrasound Diagn Ther"},{"key":"2026062506235607900_ref8","doi-asserted-by":"publisher","first-page":"107580","DOI":"10.1016\/j.ijscr.2022.107580","article-title":"Paratesticular leiomyoma mimicking an inguinal hernia: a rare case report and literature review","volume":"98","author":"Irsayanto","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2026062506235607900_ref9","doi-asserted-by":"publisher","first-page":"e75234","DOI":"10.7759\/cureus.75234","article-title":"Testis-sparing approach in paratesticular leiomyoma: a rare case navigating from diagnosis to targeted treatment planning","volume":"16","author":"Haritha","year":"2024","journal-title":"Cureus"},{"key":"2026062506235607900_ref10","doi-asserted-by":"publisher","first-page":"154","DOI":"10.5152\/tud.2018.28813","article-title":"A rare case of paratesticular leiomyoma in a child","volume":"45","author":"Arslan","year":"2019","journal-title":"Turk J Urol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag418\/68610150\/rjag418.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag418\/68610150\/rjag418.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:24:36Z","timestamp":1782383076000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag418\/8711347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag418","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag418"}}