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Paratesticular leiomyosarcoma treated by enucleation.
Roberto I Lopes1, Katia R Leite, Roberto N Lopes
1Syrian Lebanese Hospital, Sao Paulo, Brazil. robertoiglesias@terra.com.br
Summary
Paratesticular leiomyosarcoma, a rare cancer, was successfully treated with tumor enucleation in a young man. This minimally invasive approach, followed by surveillance, resulted in no evidence of disease for 13 years.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Spermatic cord leiomyosarcomas are rare malignancies.
- Standard treatment involves radical orchiectomy and high cord ligation.
Observation:
- A 22-year-old male presented with inguinal pain and a paratesticular nodule.
- Initial intraoperative assessment suggested a benign epididymal nodule, leading to enucleation.
- Histology confirmed leiomyosarcoma, and the patient declined radical orchiectomy.
Findings:
- Enucleation followed by clinical, biochemical, and radiological surveillance was adopted.
- The patient remained disease-free for 13 years post-enucleation.
Implications:
- This case suggests that enucleation may be a viable alternative treatment for select paratesticular leiomyosarcomas.
- Minimally invasive approaches warrant consideration in managing these rare tumors.
- Long-term surveillance is crucial for patients treated with conservative measures.