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Spermatic Cord Leiomyosarcoma Rare Case.

Pamela Frigerio¹, Jesus Sebastian Muruato-Araiza¹, Selim Marcos-Morales¹

¹Facultad de Medicina Unidad Saltillo, Universidad Autónoma de Coahuila, Saltillo, Coahuila, Mexico; Departmento de Cirugia, Hospital Universitario de Saltillo, Saltillo, Coahuila, Mexico.

Urology Case Reports

|May 12, 2016

Summary

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A painless spermatic cord tumor in a 64-year-old male was diagnosed as leiomyosarcoma. Definitive diagnosis requires histopathological and immunohistochemical studies due to challenges in preoperative identification.

Area of Science:

Oncology
Surgical Pathology

Background:

Leiomyosarcoma of the spermatic cord is a rare soft tissue sarcoma.
Early diagnosis is crucial for effective treatment and patient outcomes.

Observation:

A 64-year-old male presented with a painless, growing left groin-scrotum mass over several months.
Physical examination revealed a mass in the left distal spermatic cord, confirmed by ultrasound and CT.

Findings:

Laboratory parameters were within normal limits.
Surgical intervention involved radical orchiectomy with high ligation of the left spermatic cord.
Histopathological and immunohistochemical analyses confirmed the diagnosis of spermatic cord leiomyosarcoma.

Implications:

Keywords:

Leiomyosarcoma Spermatic cord

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Preoperative diagnosis of spermatic cord leiomyosarcoma presents significant challenges.

A multimodal diagnostic approach combining clinical presentation, imaging, and definitive histopathology is essential.

This case highlights the importance of thorough evaluation for rare malignancies.