[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.
The Department of Urology, Saitama Medical Center, Saitama Medical School.
Nobuyuki
N
Ishii
Soichiro
S
Yoshida
Atsushi
A
Yoshinaga
Rena
R
Ohno
Toshiya
T
Terao
Toru
T
Watanabe
Tetsuo
T
Hayashi
Takumi
T
Yamada
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