Published: 2020-06-25

Epidydimal leiomyosarcoma: a rare case of scrotal swelling

Sharath K. Krishnan, Ravindran Chirukandath, Safna Kunhikandilakath, Harikumar Kaniyamparambil Vava, Babu Pulluvelil John


Sarcomas of the genitourinary tract are extremely uncommon and accounts for only 1-2% of genito urinary malignancies. Sarcomas of the para testicular region, comprising tissues such as the epididymis, spermatic cord, inguinal canal and testicular tunica are also extremely rare. epidydimal leiomyosarcoma accounted only for 4 percentage of all para testicular tumours and only 16 cases are reported so far in literature and they account 4% of all Para testicular sarcomas. We are presenting a 61-year-old patient presented with a hard welling of 1 year duration, with no other associated symptoms. On ultrasound evaluation, it was reported as extra testicular lesion, possibly from epididymal tail. We performed a high inguinal orchidectomy. Histopathological examination revealed a para testicular leiomyosarcoma arising from epididymis. This case has discussed because of the rarity of the disease and possible cure if diagnosed early and treated aggressively.


Paratesticular tumour, Leiomyosarcoma, Sarcomas

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Chen C, Cen H, Huang L. Primary epididymal tumors: Report of 24 cases. Zhonghua Wai Ke Za Zhi. 1996;34:655-6.

Gupta N, Rajwanshi A, Srinivasan R, Nijhawan R. Fine needle aspiration of epididymal nodules in Chandigarh, north India: An audit of 228 cases. Cytopathology. 2006;17:195-8.

Mechri M, Ghozzi S, Khiari R, Bougrine F, Bouziani A, Benrais N. A rare cause of a scrotal mass: primary leiomyosarcoma of epididymis. BMJ Case Rep. 2009;2009:bcr06.2008.0292

Fisher C, Goldblum JR, Epstein JI, Montgomery E. Leiomyosarcoma of the paratesticular region: a clinicopathologic study. Am J Surg Pathol. 2001;25(9):1143-9.

Froehner M, Fischer R, Leike S, Hakenberg OW, Noack B, Wirth MP. Intratesticular leiomyosarcoma in a young man after high dose doping with oral-turinabol: a case report. Cancer. 1999;86(8):1571-5.

Ali Y, Kehinde EO, Makar R, Al-Awadi KA, Anim JT. Leiomyosarcoma complicating chronic inflammation of the testis. Medical Principles and Practice. 2002;11(3):157-160.

Kwae SZ, Liu Y, Chen SC. Leiomyosarcoma of the epididymis: Case report. J Urol. 1949;62:349-53.

Kosmehl H, Katenkamp D. Primary soft tissue tumors of the epididymis, paratesticular tissue and spermatic cord. Zentralbl Allg Pathol. 1985;130:5-12.

Sherwin B, Bergman H. Primary malignant neoplasms of the spermatic cord and epididymis; two case reports. J Urol. 1952;67:208-15.