A Rare Case of Paratesticular Leiomyosarcoma

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

8-10-2023

Keywords

para testicular tumors, paratesticular leiomyosarcoma, paratesticular mass, primary leiomyosarcoma, soft tissue tumours

Disciplines

Internal Medicine | Male Urogenital Diseases | Neoplasms

Abstract

Paratesticular leiomyosarcoma is a rare urologic cancer that arises from undifferentiated smooth muscles of the spermatic cord or epididymis. Few accounts of this cancer have been reported but previous reports have identified radiation and anabolic steroids as possible risk factors. We report a case of an 83-year-old man with a previous history of radiation therapy for prostate cancer, who presented with a painless left scrotal mass. Given the nonspecific presentation, a histopathological classification was warranted for a definitive diagnosis. The tumor was resected via simple orchiectomy and was diagnosed as a paratesticular grade III leiomyosarcoma without any further treatment. Patient had a follow-up CT scan of the abdomen and pelvis that was normal without metastasis. The patient's history of previous external beam radiation and now development of a secondary tumor sums to the few cases that have been previously reported with this association.

Publisher or Conference

Cureus

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