leiomyosarcoma of spermatic cord-case report for its rarity

Abstract

Leiomyosarcoma of spermatic cord are
extremely rare.About 110 cases have
been reported in the literature.A 65 year
old man with 2 year history of painless
lump in the right hemiscrotum.scrotal examination
revealed a 1510cm hard mass
with irregular surface.USG reported as
right testicular mass.we treated patient
with radical inguinal orchiectomy. Histology
suggested a leiomyosarcoma of
spermatic cord. Although the condition is
rare,it should be one of the differential
diagnoses for a firm-to-hard lump in the
cord. Apart from radical orchidectomy,
there has been added benefit of adjuvant
radiotherapy to prevent any loco-regional
lymph node recurrence.