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Ultrasound of the left testicle revealing a well circumscribed mass measuring 35 x 20 mm located in the upper pole.
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The scrotal US showed well limited left mass, well circumscribed and with highly vascularized color doppler echostructure, measuring 35 x 20 mm (Fig. 1).
Intraoperative aspect of the specimen after mass excision. A well limited mass measuring 4 cms.
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Therefore, a wide local excision of the mass was performed with 1 cm of safety margin (Fig. 2).
Gross examination of the tumor showing a nodular mass measuring 4 x 2 x 2cms, whitish in colour, with fasciculated aspect on section.
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Histologically speaking, gross examination revealed nodular mass measuring 4 x 2 x 2 cms, whitish in colour, with fasciculated aspect on section (Fig. 3).
Microscopic examination showing a well limited mass, encapsulated, formed by smooth muscle tissue organized in interlaced bundles. The cells are elongated, with fusiform nuclei, with rounded ends, an inhomogenic chromatin, thin nucleoli and an eosinophilic cytoplasm with poorly defined cytoplasmic limits (Arrow).
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The cells are elongated, with fusiform nuclei, rounded ends, an inhomogenic chromatin, thin nucleoli and an eosinophilic cytoplasm with poorly defined cytoplasmic limits (Fig. 4).