Primary leiomyosarcoma of the testis is a rare condition with only 13 cases reported. We present a case of primary intra-testicular leiomyosarcoma in a 45 year old patient who presented with painless testicular enlargement. Ultrasound revealed a large heterogeneous right testicular solid mass with moderate hydrocele and huge retroperitoneal mass. Serum alpha-fetoprotein (AFP) and beta-human chorionic gonadotrophin (beta-HCG) were normal. A right radical orchidectomy with histopathology confirmed primary leiomyosarcoma of testis. A leiomyosarcoma should be one of the differential diagnosis of a sero-negative testicular mass.
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Article Synopsis
- Primary leiomyosarcoma in bone is a rare tumor that mainly occurs in older adults and may be a metastasis; it requires careful evaluation and broad surgical excision as treatment.
- A case study describes a 50-year-old man with a painful mass in his left wrist, diagnosed with primary leiomyosarcoma of the distal ulna and treated with wide resection and stabilization.
- This type of tumor, although uncommon, should be considered when diagnosing lytic aggressive bone lesions in middle-aged patients, with surgery being the primary treatment method.
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