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
Related Articles
- EP ID EP140341
- DOI 10.4328/JCAM.483
- Views 99
- Downloads 0
Bir Üniversite Hastanesinde Yatan Hastalarda Fiziksel Tıp ve Rehabilitasyon Konsültasyonları
Amaç Bu çalışma, diğer kliniklerin branşımızı hangi noktada gördüğünü ortaya koymak, eksik yanlarımızı tespit etmek ve ilgi alanlarımızı yeniden değerlendirmek amacıyla Fiziksel Tıp ve Rehabilitasyon (FTR) kliniğinden...
Is Total Collapse a Good Sign for Treatment Process of Spontaneous Pneumothorax?
Aim: We aimed to investigate possible effects of total collapse on early reexpansion of lung, early cessation of air leak, chest tube withdrawal time and early discharge. Material and Method: A retrospective analysis o...
Recurrent Ectopic Pregnancies: Analysis of Risk Factors of Thirteen Patients
Aim: A prior ectopic pregnancy increases the risk of consequent ectopic pregnancies. In this study risk factors and treatment modalities of recurrent ectopic pregnancies were analyzed in a tertiary hospital setting. Ma...
Management of Parapneumonic Eff usions
Pleural eff usions associated with pneumonia (parapneumonic eff usions) are one of the most common causes of exudative pleural eff usions in the world. Approximately 20 to 40% of patients hospitalized with pneumonia wil...
Resusitasyondan Doğuma: Gebe Bir Kadında Enfektif Endokardite Bağlı Çift Kapak Replasmanı
Kalp hastalığı bulunan hastalarda gebelik anne ve fetus artmış bir risk taşır. Bu yazıda gebeliğinin 16. haftasında resusite edilen ve uzun kardiyopulmoner bypass zamanları ile (112 dakika kros-klemp ve 133 dakika perf...