Leiomyosarcoma of the spermatic cord : A case report Akimasa Kure 1 , Kazuhiko Fujita 2 , Masato Shirai 1 , Hideyuki Isobe 3 , Akane Hashizume 4 , Shigeo Horie 5 Keyword: 精索腫瘍 , 平滑筋肉腫 pp.927-931
Published Date 2018/10/20
DOI https://doi.org/10.11477/mf.1413206410
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A 75-year-old man presented to our hospital, complaining of enlarging painless hard mass in the left scrotum for 4 months. Left orchiectomy with high ligation of the spermatic cord was performed under the clinical diagnosis of the spermatic cord tumor. Histopathologically, the tumor was diagnosed as leiomyosarcoma sized 2.3 cm, primarily, arising from the spermatic cord. Surgical margin was negative and distant metastases were not observed at image inspections. Because of the low grade tumor in FNCLCC grading system, we did not perfomed adjuvant therapy. There has been neither local recurrence nor metastasis for 24 months after the operation. Leiomyosarcoma of the spermatic cord is rare. This is the 45th case of primary leiomyosarcoma of the spermatic cord in Japan (Rinsho Hinyokika 72 : 927-931, 2018).

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