Yuen Victor T H, Kirby Shane D, Woo Young Chi
The University of Queensland, Mayne Medical School, Brisbane, Australia;
Can Urol Assoc J. 2011 Dec;5(6):E121-4. doi: 10.5489/cuaj.11008.
Paratesticular leiomyosarcomas are rare. We report two cases of leiomyosarcoma of the epididymis diagnosed and treated in a regional community hospital in Canada in 2009 and 2010. Both patients were males of ages 58 and 75, respectively. They presented with painless masses which, on ultrasonography, appeared to be solid masses demonstrating blood flow. Each patient underwent trans-scrotal resection of the affected epididymis. Pathological examination of trans-scrotal epididymectomy specimens confirmed the diagnosis of high-grade leiomyosarcoma. Leiomyosarcoma is an important differential diagnosis for paratesticular masses in the elderly male; the primary treatment is radical inguinal orchiectomy with high ligation of the spermatic cord.
睾丸旁平滑肌肉瘤较为罕见。我们报告2009年和2010年在加拿大一家地区社区医院诊断并治疗的两例附睾平滑肌肉瘤病例。两名患者均为男性，年龄分别为58岁和75岁。他们均表现为无痛性肿块，超声检查显示为有血流信号的实性肿块。每名患者均接受了经阴囊的患侧附睾切除术。经阴囊附睾切除标本的病理检查确诊为高级别平滑肌肉瘤。平滑肌肉瘤是老年男性睾丸旁肿块的重要鉴别诊断；主要治疗方法是根治性腹股沟睾丸切除术并高位结扎精索。
