Paratesticular Leiomyosarcoma: A Case Report and Review of the Literature

Alfarelos, Joana; Gomes, Gustavo Remigio; Campos, Francisco Ramos; Matias, Mário; Canelas, Amaral; Gonçalves, Matilde

doi:10.1016/j.eucr.2016.11.006

Cited by 20 publications

(29 citation statements)

References 5 publications

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“…1 Thus, tumours arising from mesenchymal, epithelial and mesothelial cells may develop, however, on the whole, these are rare tumours, accounting for fewer than 5% of all testicular masses. 2 The majority of all paratesticular masses are benign and include lipomas, adenomatoid tumours and leiomyomas, however fewer than a third are malignant with 90% of these being sarcomas. 3 Malignant sarcomas include liposarcomas, rhabdosarcomas, and leiomyosarcomas as the most common three variants, with malignant fibrous histiocytomas or dedifferentiated sarcomas also being seen [4][5][6] (see Table 1).…”

Section: Introductionmentioning

confidence: 99%

Paratesticular sarcomas: a case series and literature review

Keenan

Riogh

Stroiescu

et al. 2019

Therapeutic Advances in Urology

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Paratesticular soft tissue tumours are remarkably rare entities, with malignant subtypes accounting for approximately 30%. Due to the paucity of cases, a consensus on the best treatment has not yet been reached, presenting a diagnostic and therapeutic challenge for clinicians. Although rare, three such cases presented to the care of our institution serving a population of approximately 400,000 in the space of 13 months. These were three gentlemen, aged 54, 82 and 86 years old, presenting with left sided testicular swellings. Ultrasound in each case confirmed an extratesticular mass. Only the second gentleman complained of associated pain, however he had experienced scrotal trauma in the preceding weeks. Only one patient had suspicions of metastatic disease, with a 9 mm pulmonary nodule on computed tomography. All patients underwent a radical inguinal orchidectomy with high ligation of the spermatic cord, in keeping with best accepted guidelines. Histology confirmed a well-differentiated liposarcoma, a dedifferentiated liposarcoma and a leiomyosarcoma respectively, all high grade. One gentleman returned to theatre for re-excision of margins. Our case series emphasises the need for full multidisciplinary team specialist sarcoma input, as well as radical resection with judicious margins in order to reduce the risk of local recurrence, in the treatment of these rare tumours.

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Section: Introductionmentioning

confidence: 99%

Paratesticular sarcomas: a case series and literature review

Keenan

Riogh

Stroiescu

et al. 2019

Therapeutic Advances in Urology

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“…Differential diagnosis of asymptomatic scrotal enlargement varies widely from benign conditions, such as hydrocele and inguinoscrotal hernia, to other rarer tumors including benign leiomyoma, adenomatoid tumor, pseudotumors, fibromatosis and testicular malignancy. 6 …”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of a Testicular Mass During COVID-19 Pandemic in Lombardy: A Case Report

Cieri¹,

Contieri²,

Carlo³

et al. 2021

RRU

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Signs and symptoms associated with testicular and paratesticular structures should not be underestimated because they may hide diseases requiring immediate evaluation and treatment, such as germline tumors or sarcomas, with the latter histotypes being more common among elderly patients. Unfortunately, the COVID-19 pandemic in Italy has led to a diagnostic delay of several malignancies and the impact of this delay has likely been underestimated. Paratesticular leiomyosarcoma represents a very rare subtype of sarcoma. Here we describe a 57-year-old man who presented to the emergency department with dyspnea and a voluminous mass in the right paratesticular region. At the appearance of the scrotal mass 9 months prior, he had refused to undergo a urological evaluation due to fear of contracting COVID-19. We present this case for its histological rarity and to document a case of diagnostic and therapeutic delay during the pandemic in Lombardy.

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“…Paratesticular leiomyosarcoma are unfrequently encountered malignant soft tissue tumors that may arise either from the epididymis, the scrotum, or the spermatic cord [ 5 , 6 ]. Few cases have been reported in the literature with peak incidence in the 6 th and 7 th decades and survival rates ranging from 50% to 80% [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Paratesticular Leiomyosarcoma: A Case Report and Literature Review

Naimi

Zarraa

Kammoun

et al. 2020

Case Reports in Urology

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Paratesticular soft tissue sarcomas are very rare malignant mesenchymal tumors. With only few cases reported in the literature, data regarding diagnostic and management of these tumors are limited. We reported a case of primary paratesticular leiomyosarcoma in a 72-year-old man complaining of a progressively growing painless right scrotal mass. The patient underwent radical inguinal right orchiectomy and adjuvant 3D conformal radiotherapy to the tumor bed including the surgical scar. The prescription dose was 54 Gy, and no pelvic irradiation was performed. He remained free of recurrence for the last 16 months.

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Paratesticular Leiomyosarcoma: A Case Report and Review of the Literature

Cited by 20 publications

References 5 publications

Paratesticular sarcomas: a case series and literature review

Paratesticular sarcomas: a case series and literature review

Delayed Diagnosis of a Testicular Mass During COVID-19 Pandemic in Lombardy: A Case Report

Primary Paratesticular Leiomyosarcoma: A Case Report and Literature Review

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