Grey L F, Sorial R F, Shaw W H
Urology. 1986 Jan;27(1):28-31. doi: 10.1016/0090-4295(86)90200-1.
Two cases of leiomyosarcoma of the spermatic cord are described. The first case is a seventy-eight-year-old white man with a twenty-year history of leiomyosarcoma of the cord. Twice irradiated, he has had some twenty local recurrences. These have been to the contralateral cord, scrotum, suprapubic region, both inguinal regions, and the penis. The second case is a seventy-three-year-old white man who had radical orchiectomy for leiomyosarcoma of the cord one year ago. The patient remains free of recurrence without other therapy. Other adnexal sarcomas are described, the literature is reviewed, the usefulness of retroperitoneal lymph node dissection discussed, and a plan for therapy and follow-up proposed.
本文描述了两例精索平滑肌肉瘤病例。第一例是一名78岁的白人男性，患有精索平滑肌肉瘤20年。他接受过两次放疗，局部复发约20次。复发部位包括对侧精索、阴囊、耻骨上区、双侧腹股沟区和阴茎。第二例是一名73岁的白人男性，一年前因精索平滑肌肉瘤接受了根治性睾丸切除术。患者未接受其他治疗，目前仍无复发。文中还描述了其他附件肉瘤，回顾了相关文献，讨论了腹膜后淋巴结清扫术的实用性，并提出了治疗和随访计划。
