Inflammatory myofibroblastic tumors (IMTs) of the urogenital system are rare benign lesions, and just a few cases are reported with spermatic cord, scrotal and penile origins 1.
Please refer to the article on inflammatory myofibroblastic tumors for a broad discussion.
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Clinical presentation
Regarding the location and size of the urogenital IMTs, the clinical presentation may vary from asymptomatic to local pain, hematuria, urinary tract obstruction and scrotal lump.
Radiological features
Ultrasound
The US is the initial radiological modality for evaluating the urogenital system, particularly the scrotum. On US images, IMTs are seen as solid heteroechoic masses with internal vascularity.
CT
On CT, the urogenital IMTs are described as well-defined, hypo-attenuating masses with mild post-contrast enhancement. Small calcification foci may be observed within.
Treatment
Surgical resection is the most accepted treatment. If the mass is para or intra testicular,r resection without orchiectomy may be performed 2.
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