title: High grade myofibroblastic sarcoma of paratesticular soft tissues.
abstract: Tumors of the paratesticular region most often arise from the soft tissue surrounding the spermatic cord and the epididymis or from the soft tissue (dartos muscle) of the scrotal wall. Paratesticular tumors, despite their rarity, present a high incidence of malignancy (30%), and the therapeutic approach of choice is surgical resection with negative margin. The grade, the histology type, the presence of metastases during the diagnosis, the size of the tumor, the age of the patients, and the surgical margins are all important prognostic factors. We present a case report of a 86-year-old patient with a high grade paratesticular and scrotum sarcoma of soft tissues which was presented as a hard painful mass of the scrotum. The patient was subjected to high ligation of the spermatic cord and received no further treatment and 6 months after the operation no local or systematic recurrence was observed.
authors.affiliation: 1st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Anastasiou
authors.affiliation: 1st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Panagiotis K
authors.initials: PK
authors.lastname: Levis
authors.affiliation: 1st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece ; Department of Urology, Athens University Medical School, Laiko Hospital, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Katafigiotis
authors.affiliation: 2nd Department of Surgery, Laiko General Hospital, Medical School of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Karaolanis
authors.affiliation: Department of Obstetrics and Gynecology, G. Gennimatas General Hospital, Mesogeion Avenue 154, Attiki, 11527 Athens, Greece.
authors.forename: Viktoria-Varvara
authors.initials: VV
authors.lastname: Palla
authors.affiliation: 1st Department of Surgery, University of Athens Medical School, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Felekouras
authors.affiliation: 1st Department of Surgery, University of Athens Medical School, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Antonios
authors.initials: A
authors.lastname: Athanasiou
authors.affiliation: Department of Pathology, National and Kapodistrian University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Marina
authors.initials: M
authors.lastname: Perdiki
authors.affiliation: 1st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Dionysios
authors.initials: D
authors.lastname: Mitropoulos
authors.affiliation: 1st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece.
authors.forename: Constantinos A
authors.initials: CA
authors.lastname: Constantinides