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Chung, Lee, Kim, Eom, and Song: Local Recurrence of Spermatic Cord Leiomyosarcoma
Case Report
Korean Journal of Urology

Korean Journal of Urology 2009; 50(1): 92-95.

Published online: 31 January 2009

DOI: https://doi.org/10.4111/kju.2009.50.1.92

Local Recurrence of Spermatic Cord Leiomyosarcoma

Hyun Chul Chung, Hyo Serk Lee, Tae Im Kim, Min Seob Eom1, Jae Mann Song

Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Korea.

1Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.

jjmsong@yonsei.ac.kr

Received 13 August 2008       Accepted 29 October 2008

Copyright © 2009 The Korean Urological Association

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.

Keywords: Leiomyosarcoma, Spermatic cord, Local neoplasm recurrence

Figures and Tables

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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