title: Primary testicular leiomyosarcoma.
abstract: Primary leiomyosarcoma of the testis is a rare condition with only 13 cases reported. We present a case of primary intra-testicular leiomyosarcoma in a 45 year old patient who presented with painless testicular enlargement. Ultrasound revealed a large heterogeneous right testicular solid mass with moderate hydrocele and huge retroperitoneal mass. Serum alpha-fetoprotein (AFP) and beta-human chorionic gonadotrophin (beta-HCG) were normal. A right radical orchidectomy with histopathology confirmed primary leiomyosarcoma of testis. A leiomyosarcoma should be one of the differential diagnosis of a sero-negative testicular mass.
authors.affiliation: Department of Medical Oncology, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan.
authors.forename: Mohd Shafi
authors.initials: MS
authors.lastname: Moona
authors.forename: Dzumbaeva
authors.initials: D
authors.lastname: Fatima
authors.forename: Abduldaev
authors.initials: A
authors.lastname: Turezbek
mesh_terms: D001012:Aorta, Abdominal; D003937:Diagnosis, Differential; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D013736:Testicular Neoplasms / Q000473:pathology*