Leiomyosarcoma of the Spermatic Cord in a Seventy-Five-Year-Old man

Nephro-urology Monthly
Arash DehghanNika Eskandari

Abstract

Leiomyosarcoma is a malignant soft tissue tumor that can arise from any tissue containing smooth muscle. Leiomyosarcomas of the spermatic cord are rare tumors of non-testicular origin, which drain into the retroperitoneal lymph nodes and have been reported in less than 150 cases in the literature until now. Radical inguinal orchiectomy and high ligation of the cord is the standard primary surgical procedure in spermatic cord leiomyosarcoma. Here we reported a 75-year-old man who presented with a painless lump in the right hemiscrotum. A right radical orchiectomy was performed. Histopathology confirmed a neoplastic tissue with mesenchymal origin in spermatic cord; further evaluation revealed a leiomyosarcoma of the spermatic cord. The patient was followed up for 1-year and shows no signs of recurrence. Preoperative diagnosis of spermatic cord leiomyosarcma is difficult and commonly made by histological examination and immunochemical staining.

References

Jul 1, 1983·Postgraduate Medical Journal·A R de Bolla, D G Arkell
Apr 30, 2005·World Journal of Surgical Oncology·Stuart EnochDouglas S Murray
May 3, 2011·World Journal of Radiology·Irene KyratziDemetrios Exarhos
Jul 31, 2013·Asian Journal of Andrology·Orcun Celik, Gonca Unlu

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Citations

May 12, 2016·Urology Case Reports·Pamela FrigerioSebastián Zepeda-Contreras

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Methods Mentioned

BETA
X-ray

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