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Leiomyoma is a benign tumor of smooth muscles. Leiomyoma originating from the scrotum is a rare entity. We report a case of 53-year-old African male who presented with a 3 cm lump in the right side of scrotum. Clinically, it was provisionally diagnosed as sebaceous cyst and was excised. The histopathology showed a leiomyoma. There was no cytological atypia or mitosis. The patient also had squamous papilloma over left gluteal region.

Intra-Scrotal Extra-Testicular Leiomyoma, a Common Mesenchymal Tumor at a Rare Site: Emphasizing the Need for Awareness of Its Occurrence