A Slow Growing Paratesticular Leiomyosarcoma: An Unusual Case Report

Author(s): Yasmine Laraqui Housseini, Fouad Zouaidia, Souhail Regragui, Sabrine Derqaoui, Khouloud Raissouni, Ahmed Jahid, Kaoutar Znati, Zakiya Bernoussi, Hafsa Elouazzani

Paratesticular leiomyosarcoma is a rare tumor of the mature adult who develops habitually in the spermatic cord [1]. Preoperative diagnosis can be difficult because of nonspecific symptoms and non pathognomonic radiological features. In addition, its slow growing does not allow adequate differential diagnosis with respect to other scrotal tumors. We present a case of an uncommon paratesticular leiomyosarcoma: it’s about a 64-year-old man with a history of painless enlargement of the left testis for 03 years. The scrotal ultrasound and MRI showed a paratesticular mass of 4.5cm in contact with spermatic cord. Patient underwent left high inguinal orchidectomy. Histopathological examination with immunostaining made the final diagnosis of grade 1 paratesticular leiomyosarcoma of NFFCS, with hepatic metastases in the abdominal CT.

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