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World J Radiol. Apr 28, 2011; 3(4): 114-119
Published online Apr 28, 2011. doi: 10.4329/wjr.v3.i4.114
Published online Apr 28, 2011. doi: 10.4329/wjr.v3.i4.114
Imaging features of a huge spermatic cord leiomyosarcoma: Review of the literature
Irene Kyratzi, Eleni Antypa, Demetrios Exarhos, Department of Radiology, Evaggelismos General Hospital, Ipsilantou 45-47, 10676, Athens, Greece
Evangelos Lolis, Second Department of Surgery, Evaggelismos General Hospital, Ipsilantou 45-47, 10676, Athens, Greece
Maria Alexandra Lianou, Department of Pathology, Evaggelismos General Hospital, Ipsilantou 45-47, 10676, Athens, Greece
Author contributions: All authors contributed in the therapeutic approach of the patient (U/S: Antypa E and Kyratzi I, CT: Exarhos D and Kyratzi I, Surgery: Lolis E, Pathologic exams: Lianou MA) and they wrote the part of the paper corresponding to their exam; Kyratzi I made literature searching and wrote the paper; Exarhos D made the supervision of the paper.
Correspondence to: Irene Kyratzi, MD, Department of Radiology, Evaggelismos General Hospital, Ipsilantou 45-47, 10676, Athens, Greece. ekyratzi@yahoo.com
Telephone: +30-21-21021560 Fax: +30-21-6015227
Received: November 13, 2010
Revised: January 25, 2011
Accepted: February 1, 2011
Published online: April 28, 2011
Revised: January 25, 2011
Accepted: February 1, 2011
Published online: April 28, 2011
Abstract
Spermatic cord leiomyosarcomas (LMSs) are rare tumors which may cause significant morbidity and mortality if inadequately diagnosed or treated. We report a case of a paratesticular LMS in a 60-year-old man who presented with a right scrotal mass. The patient was evaluated by scrotal ultrasound and computed tomography of the abdomen and pelvis (including scans of the scrotum), which revealed a large extratesticular mass. The lesion proved to be malignant and the patient underwent radical orchiectomy with high cord ligation. To improve the assignment of this lesion, we further analyze the imaging features of LMS and correlate them with pathologic findings.