[Primary leiomyosarcoma of the spermatic cord with an unusually indolent clinical course].
A 33-year-old man referred to our hospital with a painful swelling of the left scrotal content which had gradually enlarged during the past 4 years. Physical examination revealed a hard, irregular, nontender mass of 5x4 cm in the left scrotum. The mass was fixed to the left epididymis and spermatic cord. Local excision was performed and histologcal examination revealed leiomyosarcoma originating from the spermatic cord. Distant metastases were not observed. Because of the reportedly high propensity for local recurrence, we performed radical orchiectomy and adjuvant radiation. The patient has been alive for 13 months with no evidence of disease.
Ishii
Nobuyuki
N
The Department of Urology, Saitama Medical Center, Saitama Medical School.
Yoshida
Soichiro
S
Yoshinaga
Atsushi
A
Ohno
Rena
R
Terao
Toshiya
T
Watanabe
Toru
T
Hayashi
Tetsuo
T
Yamada
Takumi
T
D000328:Adult; D005834:Genital Neoplasms, Male / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D007890:Leiomyosarcoma / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D009919:Orchiectomy; D018714:Radiotherapy, Adjuvant; D013085:Spermatic Cord / Q000601:surgery