Haran Shankar, Balakrishan Vikram, Neerhut Greg
Urology Department, The Geelong Hospital, Ryrie Street, Geelong, VIC 3220, Australia.
Case Rep Urol. 2014;2014:715395. doi: 10.1155/2014/715395. Epub 2014 Mar 11.
Paratesticular leiomyosarcomas are rare and can lead to significant morbidity and mortality, if inadequately diagnosed or treated. We present a case of paratesticular leiomyosarcoma in an 88-year-old man presenting with a left scrotal mass with ultrasound revealing that the mass is extratesticular. Left radical orchidectomy was performed and pathological examination of the resected specimen confirmed the diagnoses of high grade leiomyosarcoma with surgical margins clear of tumour. The patient was free of metastatic disease on further imaging and has been disease-free for 18 months. A review of the literature regarding paratesticular leiomyosarcoma presentation, diagnosis, and treatment is also discussed.
睾丸旁平滑肌肉瘤罕见，若诊断或治疗不当可导致严重的发病和死亡。我们报告一例88岁男性睾丸旁平滑肌肉瘤病例，患者因左侧阴囊肿物就诊，超声显示肿物位于睾丸外。行左侧根治性睾丸切除术，切除标本的病理检查确诊为高级别平滑肌肉瘤，手术切缘无肿瘤。进一步影像学检查显示患者无转移性疾病，且已无病生存18个月。本文还讨论了关于睾丸旁平滑肌肉瘤的临床表现、诊断和治疗的文献综述。
