title: A case of paratesticular leiomyosarcoma successfully treated with orchiectomy and chemotherapy.
abstract: A 50-year-old male patient presented with a right scrotal mass that had been growing rapidly for more than one year. A heterogeneous enhancing right scrotal mass (12×9 cm) with para-aortic and peri-caval lymphadenopathies was found on abdominal computed tomography (CT). Right orchiectomy was performed and the gross finding had shown intact testis with a well-defined, huge, whitish solid mass adjacent to the testis. According to pathology, the mass was characterized as a leiomyosarcoma, grade 3 (by National Cancer Instituted [NCI] system). Therefore, the diagnosis was stage III, grade 3 paratesticular leiomyosarcoma. The patient underwent additional systemic chemotherapy using ifosfamide and adriamycin. After nine cycles of chemotherapy, positron emission tomography-CT was performed and no FDP uptake was observed. The patient has been followed up for 12 months after systemic chemotherapy, and he has maintained a complete response. We report here on a rare case of paratesticular leiomyosarcoma treated successfully with orichiectomy and additional systemic chemotherapy.
authors.affiliation: Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Bong Suk
authors.initials: BS
authors.lastname: Ko
authors.forename: Nae Yu
authors.initials: NY
authors.lastname: Kim
authors.forename: Ah Jung
authors.initials: AJ
authors.lastname: Ryu
authors.forename: Dong Soon
authors.initials: DS
authors.lastname: Kim
authors.forename: Soo Jung
authors.initials: SJ
authors.lastname: Gong
authors.forename: Dae Kyung
authors.initials: DK
authors.lastname: Kim
authors.forename: Hyun Jin
authors.initials: HJ
authors.lastname: Son
authors.forename: Jung-Ae
authors.initials: JA
authors.lastname: Lee
keywords: Chemotherapy; Leiomyosarcoma; Orchiectomy