Imaging features of a huge spermatic cord leiomyosarcoma: Review of the literature

Figure 1 Leiomyosarcoma. A: Extratesticular mass located posterior-superiorly to the right testis; B: Large mass of heterogenous echotexture located posterior-superiorly to the testis without obvious signs of infiltration; C: Presence of calcifications and hypoechoic areas - hydrocele (use of convex probe due to the size of the mass); D: Colour Doppler image revealing vascularity within the tumour; E: Thickening of the spermatic cord in the inguinal canal; F: Thickening of the spermatic cord and dilated vessels present; G: Mass within the right hemiscrotum with irregular, mostly peripheral vascularity; H: Surgical specimen.

Figure 2 Pathological evidence of spermatic cord leiomyosarcoma. A: A fascicular growth pattern of spindle neoplastic cells is evident, which is highly indicative of leiomyosarcoma; B: A high degree of atypia and cellular pleomorphism is noticed on the above picture; C: Positivity for desmin is shown; D: Positivity for specific muscle actin is shown.