Urol. praxi. 2020;21(3):122-124 | DOI: 10.36290/uro.2020.044

Leiomyosarcoma of spermatic cord

MUDr. Romana Dúbravická¹, MUDr. Martin Labovský¹, MUDr. Vladimír Študent, Ph.D., FEBU²

¹ Urologické oddělení, Nemocnice Znojmo, p. o., Znojmo

² Urologická klinika FN a LF UP, Olomouc

We present the case of a 72-year-old man with leiomyosarcoma of spermatic cord. The patient presented with pain in his right groin and enlarged right scrotum. Physical examination showed a rigid mass reaching the lower half of the inguinal canal and filling the right scrotum. Ultrasound examination revealed a solid expansion of the heterogeneous structure with accentuated vascularization. A high-ligation radical orchiectomy was performed. Histologic examination verified low-differentiated leiomyosarcoma of spermaticus funiculus belonging to the group of paratesticular tumors. CT scan of the lungs, retroperitoneum and small pelvis showed no metastatic process or lymphadenopathy. The oncologists did not indicate an adjuvant oncological therapy, the reason being radical tumour removal. After 3 years, metastatic process into the retroperitoneal nodes was verified.

Keywords: leiomysarcoma, radical orchiectomy, metastatic process.

Published: October 16, 2020  Show citation