Paratesticular Leiomyosarcoma: A Case Report and Review of the Literature
Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 2
Abstract
Leiomyosarcomas arising from the spermatic cord are extremely rare. A 65 year old man admitted to our clinic with a 4 months history of painless right inguinal mass. He had no history of trauma and no urinary tract symptoms. On physical examination a firm non-tender mobile mass of approximataly 3x5 cm in diamater was found in inguinal region. No inguinal hernia was detected. In addition to testicular tumor markers (αFP, beta HCG), routine hematologic and biochemical analysis were within normal ranges. Ultrasonography of the scrotum and inguinal region showed a non-specific, heteroechogenic mass of approximately 44x30x54 mm in diamater on the right inguinal region. The right testis and epididymis were normal. It was treated by radical orchiectomy with ligation of the spermatic cord at the level of internal inguinal ring through an inguinal approach. The patient also underwent herniorraphy. Pathological study revealed that paratesticular leiomyosarcoma. After this pathology report we did not consider adjuvant chemotherapy or radiotheraphy. Six months postoperatively there was no evidence of local recurrence of the neoplasm or distant metastasis. As a result we can say that although spermatic cord leiomyosarcoma is extremely rarely seen this tumor should be considered in the differential diagnosis of palpable masses on the scrotal or inguinal region especially in older men.
Authors and Affiliations
Fikret Erdemir, Doğan Atılgan, Bekir Süha Parlaktaş, Fatma Markoç, Fatih Fırat
Keywords
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- EP ID EP140341
- DOI 10.4328/JCAM.483
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