Leiomyosarcoma of the spermatic cord.
BACKGROUND
A rare case of leiomyosarcoma from the spermatic cord is described. A 72-year-old man complained of a hard, golf-ball sized mass in the right inguinal canal.


METHODS
Transinguinal radical orchiectomy was performed and histologic examination revealed leiomyosarcoma originating from the spermatic cord. Distant metastases were not observed by further examinations. Radiation as adjuvant therapy was carried out in order to prevent the local recurrence.


CONCLUSIONS
The patient has been alive for 16 months with no evidence of disease. In leiomyosarcoma of the spermatic cord, locoregional recurrence is common. In addition to transinguinal radical orchiectomy, local radiation therapy should be carried out as an adjuvant.
Watanabe
J
J
Department of Urology, Hamamatsu Rosai Hospital, Japan. h-ikyoku@imix.or.jp
Soma
T
T
Kawa
G
G
Hida
S
S
Koisi
M
M
D000368:Aged; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D005832:Genital Diseases, Male / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000628:therapy*; D008297:Male; D013085:Spermatic Cord