Yao-Dong Han1 , Hong-Jie Chen1 *, Dong-Hai Li2 and Wu Li3
1Department of Urology, The First Ren Ming Hospital of Lanzhou, Lanzhou, China 2Department of Pathology, The First Ren Ming Hospital of Lanzhou, Lanzhou, China 3Department of Imageology, The First Ren Ming Hospital of Lanzhou, Lanzhou, ChinaFulltext PDF
Background: Leiomyosarcoma is a tumor that can develop in any organ that contains smooth muscles. Although leiomyosarcoma is common, epididymal localization of them is quite rare. Case Report: A 79-year-old patient presented with mild pain in the right groin and scrotum for three years followed by a lump at the posterior aspect of the right testis. Ultrasonography and Magnetic Resonance Imaging (MRI) of the scrotum showed an irregular and heterogenous mass of 4 cm × 3 cm × 4 cm at the inferior aspect of right testis. High inguinal orchiectomy was performed under general anesthesia. The pathological diagnosis was a primary epididymal leiomyosarcoma. Conclusion: Epididymal leiomyosarcoma is rare and difficult to diagnose pre-operatively. The final diagnosis of Leiomyosarcoma requires histologic examination. Resection must be extensive and complete. The effect of chemotherapy and radiation on the leiomyosarcoma of the epididymis remains unclear. Recurrence is common, so follow-up is necessary.
Epididymal; Leiomyosarcoma; Diagnosis; Treatment
Han Y-D, Chen H-J, Li D-H, Li W. Primary Leiomyosarcoma of Epididymis: One Case Report. World J Surg Surgical Res. 2021; 4: 1353..