A large soft tissue mass with multiple cysts—Primary leiomyosarcoma of the seminal vesicle

Yu, Yongquan; Zhang, Hongsheng; Liu, Jie

doi:10.1002/kjm2.12031

Cited by 2 publications

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References 2 publications

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“…The median age at diagnosis was 56.5 (37-79) years, and the median maximum diameter of the tumour was 8 cm (3. accurately visualised via MRI, which further complicated the ing diagnosis. A recently reported case of primary seminal vesicle sarcoma had similar imaging findings (Yu et al, 2019). Although seminal vesicle cysts and some types of epithelial and stromal tumours, such as phylloid cystosarcoma, can also show multilocular cystic manifestations, the key difference was that the cyst wall of our case was more regular and the solid part was not clearly visible.…”

Section: Discussionsupporting

confidence: 68%

“…A total of 18 patients with seminal vesicle sarcoma were included in our study, including 11 cases of leiomyosarcoma (Cauvin et al, 2011;Corongiu et al, 2019;Suzuki et al, 2009;Yu et al, 2019), two of rhabdomyosarcoma (Berger et al, 2002;Sanghvi et al, 2004), four of angiosarcoma (Chang et al, 2014;Lamont et al, 1991;Mathew et al, 2006;Panageas et al, 1990), and one of osteosarcoma (Choi et al, 2011). The median age at diagnosis was 56.5 (37-79) years, and the median maximum diameter of the tumour was 8 cm (3. accurately visualised via MRI, which further complicated the ing diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Primary spindle cell sarcoma of the seminal vesicle: A case report and literature review

et al. 2022

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We report a case of primary seminal vesicle spindle cell sarcoma of a 57‐year‐old man who underwent multiple surgical treatment. The first diagnosis of a local hospital was a right seminal vesicle cyst, so only laparoscopic decompression was performed. Postoperatively, the patient gradually developed lower abdominal discomfort, frequent and urgent urination, dysuria and constipation. Digital rectal examination palpated a heterogeneous mass. Magnetic resonance imaging showed a multilocular cystic mass of about 4.5 cm in diameter in the right seminal vesicle, which was diagnosed as a recurrent cyst. The patient underwent a second operation in our hospital, but the tumour could not be completely removed because of severe peripheral adhesions. The postoperative pathological diagnosis was seminal vesicle cystadenoma with spindle cell sarcoma. One month later, a computed tomography scan performed at another hospital showed that the mass had invaded the bladder and sigmoid colon. The pathological diagnosis of re‐examination was spindle cell liposarcoma. After neoadjuvant chemotherapy, extended resection of the tumour was performed, and adjuvant chemotherapy was continued after surgery. The total duration of follow‐up was 19 months and 3 months after the third surgery. The patient survived with no recurrence or metastasis.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Primary spindle cell sarcoma of the seminal vesicle: A case report and literature review

et al. 2022

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Seminal vesicle leiomyosarcoma: Case report and literature review

et al. 2021

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Introduction and background: Primary leiomyosarcoma of the seminal vesicle is an extremely rare and highly malignant disease with less than 15 cases reported. Case description: A 34-year-old man presented with acute urinary symptoms. Imagen studies showed an abdominal mass (80 mm × 65 mm × 50 mm) with contrast enhancement, compressing the right side of the bladder but with a clear cleavage level between surrounding organs. The patient underwent a transrectal US-guided biopsy which was informed as compatible with leiomyosarcoma by immunohistochemical characterization. We performed a cystoprostatectomy and pelvic lymphadenectomy plus radiotherapy. Pathology showed a 7.5 cm × 6 cm nodular para-vesical Leiomyosarcoma histological grade 2 with 0/22 lymph nodes involved. Twelve months after the surgery no recurrences have presented. Conclusion: A multi-disciplinary therapeutic approach, combined with close follow-up, is mandatory to obtain good outcomes in such rare and challenging cases.

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A large soft tissue mass with multiple cysts—Primary leiomyosarcoma of the seminal vesicle

Cited by 2 publications

References 2 publications

Primary spindle cell sarcoma of the seminal vesicle: A case report and literature review

Primary spindle cell sarcoma of the seminal vesicle: A case report and literature review

Seminal vesicle leiomyosarcoma: Case report and literature review

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