Primary Paratesticular Leiomyosarcoma: A Case Report and Literature Review

Abstract

Paratesticular soft tissue sarcomas are very rare malignant mesenchymal tumors. With only few cases reported in the literature, data regarding diagnostic and management of these tumors are limited. We reported a case of primary paratesticular leiomyosarcoma in a 72-year-old man complaining of a progressively growing painless right scrotal mass. The patient underwent radical inguinal right orchiectomy and adjuvant 3D conformal radiotherapy to the tumor bed including the surgical scar. The prescription dose was 54 Gy, and no pelvic irradiation was performed. He remained free of recurrence for the last 16 months.

Paratesticular leiomyosarcoma with metastasis to the extremities and lungs

“…Additionally, they have the ability to metastasize by means of the blood or lymphatic system [1] . Incidence is highest in males during the 6th and 7th decades [4] . Patients can present with a painless mass, noticeable on physical examination, followed by hydrocele on sonography.…”

“…Radical orchiectomy is the typical operation performed, followed by adjuvant radiotherapy to decrease the rate of local recurrence [6] . Prognosis of the condition depends predominantly on the tumor grade [4] .…”