Leiomyosarcoma of Spermatic Cord: Mimicking Inguinal Hernia

Abstract

Leiomyosarcomas of the spermatic cord are very rare malignant neoplasms.We report one case, a 64-year-old man presented with the painless, swelling, ball shaped mass in the right inguinal canal.Histopathological evaluation including immunohistochemistrystudiesconfirmed a conventional leiomyosarcoma. Currently there has been no evidence local recurrence or distant metastasis for three months of follow-up. Leiomyosarcoma is a extremely malignant tumor; survival is poor. The long-termprognosis of leiomyosarcoma depends principally on stage and histologic grade.There appears to be a lack of concurrence aboutdiagnostic criteria for malignancy opposite the leiomyosarcoma spectrum, but more studies are needed.This article reviews in the literature and the criteria of these tumors is also discussed.

Management of a giant retroperitoneal leiomyoma: a case report

“…These criteria may differ, depending on the tumor’s location. Retroperitoneal leiomyomas in female patients may express significant mitotic activity index [ 4 ].…”

“…Ultrasound and CT scan aspects are not evocative. The tumor is usually described as a voluminous, heterogeneous, hypervascularized mass [ 4 ]. Preoperative imagery is mainly of interest to define the anatomical limits of the tumor precisely.…”

“…Differential diagnoses concern other spindle cell tumors, such as leiomyosarcomas and stromal tumors. Other rare diagnoses, such as malignant peripheral nerve sheath tumor, inflammatory myofibroblastic tumor, and pleomorphic sarcoma, have been described [ 4 ]. Immunohistochemical analysis is of primary importance in this context.…”