2013
DOI: 10.5489/cuaj.1184
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Primary intratesticular leiomyosarcoma

Abstract: This report presents a case of primary intratesticular leiomyosarcoma. A 73-year-old male presented with a 6-year history of left scrotal swelling. A radiological examination revealed a left testicular tumour with multiple metastases in the lung, para-aortic lymph node and other organs. A radical orchiectomy was carried out and the pathology revealed an intratesticular leiomyosarcoma. The patient received additional chemotherapy. Cases of primary intratesticular leiomyosarcoma are rare. This is, to the best of… Show more

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Cited by 11 publications
(15 citation statements)
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“…It is said that excluding these cases is important to diagnose primary testicular sarcoma because primary testicular sarcoma has better prognosis than testicular GCTs with SC [13]. In only six cases of 41 cases (15%) including our case, they had metastasis and/or recurrence in a term of observation after treatment (9 weeks to 21 years) [22,28,30,39]. However, two cases of these six cases were considered that tumors arose from tunica and epididymis and they might be cases that should be distinguished from primary testicular tumors [30].…”
Section: Discussionmentioning
confidence: 94%
See 1 more Smart Citation
“…It is said that excluding these cases is important to diagnose primary testicular sarcoma because primary testicular sarcoma has better prognosis than testicular GCTs with SC [13]. In only six cases of 41 cases (15%) including our case, they had metastasis and/or recurrence in a term of observation after treatment (9 weeks to 21 years) [22,28,30,39]. However, two cases of these six cases were considered that tumors arose from tunica and epididymis and they might be cases that should be distinguished from primary testicular tumors [30].…”
Section: Discussionmentioning
confidence: 94%
“…To our knowledge, 40 cases had been reported, including 15 lieomyosarcomas [11][12][13][14][15][16][17][18][19][20][21][22][23][24], seven rhabdomyosarcomas [25][26][27][28][29][30], five spindle sarcomas [31][32][33][34], four osteosarcomas [35][36][37][38], two fibrosarcomas [36,39], two pleomorphicsarcomas [33], two liposarcomas [33,40], one chondrosarcoma [3], one kaposi sarcoma [41] and one undifferentiated sarcoma [13].…”
Section: Discussionmentioning
confidence: 99%
“…All four have been stated as having high mitotic rate although in only 2 cases numeric counts have been indicated (2/10 hpf (14) and 8/10 hpf (18)). Two out of four were notably bulky, 20 cm (14) and 23 cm (5) in the largest diameter. Yet, many of the non-metastasizing indolent intratesticular leiomyosarcomas have also been reported as high-grade lesions with numerous mitotic fi gures (e.g.…”
Section: Türk Patoloji Dergisi/turkish Journal Of Pathology Ertoy Baymentioning
confidence: 99%
“…Nevertheless, the biological behavior of these tumors is not easy to predict and four patients developed metastatic disease (5,12,14,18). High tumor grade is the common feature among the metastasizing sarcomas.…”
Section: Türk Patoloji Dergisi/turkish Journal Of Pathology Ertoy Baymentioning
confidence: 99%
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