Epididymal Leiomyosarcoma: One Case Report

Abstract

Epididymal leiomyosarcoma is very uncommon. Only 16 cases have been reported in the literature. There has never been a reported case of a patient with an African origin with this tumor. We report the medical history of a 70-year-old man who presented an enormous mass located in his epididymis. A tricut biopsy was performed which allowed histological confirmation of epididymal leiomyosarcoma after which the patient underwent excision of the mass. The patient died after the first round of chemotherapy.

Management of epididymal leiomyosarcoma: literature narrative, case report and discussion on the use of simple epididymectomy or high radical orchiectomy

“…Management of high-grade (2–3) tumors (high mitotic index) seldom requires adjuvant chemotherapy, radiotherapy or retroperitoneal lymph node dissection [ 6 , 9 – 12 ]. Radiotherapy has decreased the local recurrence rate in patients who receive orchiectomy [ 11 ].…”