Patil Vijaya, Verma Ashish, Pattar Ravindra S, Nandar Sanjay
Department of General Surgery, Sri B. M. Patil Medical College, Hospital & Research Centre, Bijapur, Karnataka, India.
JNMA J Nepal Med Assoc. 2013 Jul-Sep;52(191):521-3.
Paratesticularleiomyosarcomas are rare neoplasms. Radical orchidectomy and high ligation of cord followed by surveillance is the treatment of choice. Here we report a 73-year-old man who presented with a 2-year history of painless lump in the left hemiscrotum. A left radical orchiectomy with high ligation of the spermatic cord was performed. The histo-pathological and immunohistochemistry evaluation revealed a moderately differentiated leiomyosarcoma of paratesticular region. The patient is still alive with no evidence of local recurrence and distant metastasis after seven years of follow-up.
睾丸旁平滑肌肉瘤是罕见的肿瘤。根治性睾丸切除术及精索高位结扎术，术后进行监测是首选的治疗方法。在此，我们报告一名73岁男性，他有左侧阴囊无痛性肿块2年的病史。实施了左侧根治性睾丸切除术及精索高位结扎术。组织病理学和免疫组化评估显示为睾丸旁区域的中分化平滑肌肉瘤。经过7年的随访，患者仍然存活，没有局部复发和远处转移的迹象。
