Patel Bankim, Vora Anup, Muruve Nicolas
Ross University School of Medicine, 2300 SW 145th Avenue, Suite 200 Miramar, FL 33027.
Chesapeake Urology Associates, Sliver Spring, MD, USA.
Urol Case Rep. 2014 Nov 6;2(6):181-2. doi: 10.1016/j.eucr.2014.07.008. eCollection 2014 Nov.
Leiomyosarcoma of the scrotum is a rare genital malignancy with approximately 35 reported cases in literature. We present a case of leiomyosarcoma of the scrotum in a 71-year-old man appearing as a sebaceous cyst that later developed ulcerations. However, because the irregular mass developed ulcerations, this should trigger one to consider that lesion is potentially malignant. The pathology report demonstrated malignant spindle cell neoplasm consistent with leiomyosarcoma, which tested positive for desmin and actin stains. On literature review, a study reported a 5-year survival rate of 50%-80%. The clinical features, diagnosis, histopathologic images, and treatment are reviewed.
阴囊平滑肌肉瘤是一种罕见的生殖器恶性肿瘤，文献报道约有35例。我们报告一例71岁男性阴囊平滑肌肉瘤病例，最初表现为皮脂腺囊肿，随后出现溃疡。然而，由于不规则肿块出现了溃疡，这应促使人们考虑该病变可能是恶性的。病理报告显示为符合平滑肌肉瘤的恶性梭形细胞瘤，结蛋白和肌动蛋白染色呈阳性。经文献检索，一项研究报告其5年生存率为50%-80%。本文对其临床特征、诊断、组织病理学图像及治疗进行了综述。
