Korean J Urol.  2009 Jan;50(1):92-95. 10.4111/kju.2009.50.1.92.

Local Recurrence of Spermatic Cord Leiomyosarcoma

• Chung HC
• Lee HS
• Kim TI
• Eom MS
• Song JM

• KMID: 2140121
• DOI: http://doi.org/10.4111/kju.2009.50.1.92

Abstract

A leiomyosarcoma of the spermatic cord is an extremely rare tumor. A 73-year-old man complained of a soft, palpable mass in the right inguinal canal. Transinguinal radical orchiectomy was performed and histologic examination revealed leiomyosarcoma originating from the spermatic cord. Distant metastases were not observed by further examinations. At 7 months postoperatively, a local recurrence developed. Reoperative wide resection was performed and a negative margin was obtained. At 9 months reoperatively, there has been no recurrence or metastasis.

Keyword

Leiomyosarcoma; Spermatic cord; Local neoplasm recurrence

MeSH Terms

Aged
Humans
Inguinal Canal
Leiomyosarcoma
Neoplasm Metastasis
Neoplasm Recurrence, Local
Orchiectomy
Recurrence
Spermatic Cord

Figure

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  Fig. 1 Ultrasonography shows a right inguinal intracanal mixed echoic structure with partial calcified nodules.

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  Fig. 2 Gross findings. Proximal portion of spermatic cord reveals vaguely multinodular fibrotic and solid masses (partially resected specimen due to frozen section). The remaining testicular adnexa are grossly unremarkable.

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  Fig. 3 Microscopic findings. The low power field demonstrates relatively well-defined solid fibrotic nodules with central degeneration (A, H&E, ×12.5), the high power field shows numerous spindle-shaped atypical and bizarre tumor cells with occasional abundant cytoplasm, few mitoses, and lymphoplasmacytic infiltration in the fibrotic stroma (B, H&E, ×400).

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  Fig. 4 The immunohistochemical stains are diffuse positive for vimentin (A) and focal positive for smooth muscle actin (B) in the tumor cells (IHC, ×400).

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  Fig. 5 Magnetic resonance imaging (MRI) of the inguinal canal. The T1-weighted image shows no tumor recurrence in the right inguinal canal.

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