The rarest form of Paratesticular Leiomyosarcoma – a case report

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Jonathan Joseph Cobley
Wasim Mahmalji


Paratesticular tumours, leiomyosarcoma


Paratesticular tumours make up less than 5% of intra-scrotal tumours and of these, approximately 30% are malignant tumours with sarcomas accounting for the majority.

Leiomyosarcoma is a malignant tumour arising from soft tissues containing smooth muscle. They are reported as comprising between 5-30% of paratesticular sarcomas1,2. It is extremely rare that they arise from tissue other than the spermatic cord or epididymis.

We describe such a case of paratesticular leiomyosarcoma in a fifty-four year old man who presented with a six month history of a painful testis and who subsequently underwent radical inguinal orchidectomy and high ligation.

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