Leiomyosarcoma of the spermatic cord: a case report

Abstract

61歳男.1年半前より左陰嚢内に腫瘤を自覚, 次第に増大してきた.触診上, 腫瘤は精巣と離れており, 精索に付着していた.弾性硬であること, 超音波検査上内部エコーが不均一なことより悪性が疑われ, 高位精巣切除を施行した.病理組織学的検査の結果, 精索原発の平滑筋肉腫であった.画像的に遠隔移転は認めなかった.術後に放射線療法を行った.術後32ヵ月を経過した現在, 再発は認めていない

A 61-year-old man presented to our hospital with a 1.5-year history of a gradually enlarging mass in the left scrotum. The mass was apart from the testis and fixed to the spermatic cord. The firm consistency and heterogeneous expression on ultrasonography suggested a malignant tumor. Orchiectomy with high ligation of the spermatic cord was performed and a histological examination revealed leiomyosarcoma of the spermatic cord. Distant metastases were not observed. Because the incidence of local recurrence has been reported to be high, we performed irradiation to control the disease. At 32 months post-surgery he was alive with no evidence of disease.