A case of subcutaneous leiomyosarcoma of the scrotum presenting as a slowly growing mass in a 36-year-old male: A case report and literature review

• Main Authors: Yui Matsuda-Mitake, Norifumi Sawada, Chihiro Inoue, Satoru Kira, Takahiko Mitsui, Masayuki Takeda
• Format: Article
• Language: English
• Published: Elsevier 2019-03-01
• Series: Urology Case Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442018304145

Leiomyosarcoma of the scrotum, not involving the testis, epididymis, or spermatic cord, is a very rare type of tumor. A 36-year-old male presented with a slowly growing right scrotal mass (size: 3 × 2 cm). An ultrasound examination revealed a hypoechoic, subcutaneous, solid mass. Laboratory investigations detected normal levels of serum alpha-fetoprotein, beta-human chorionic gonadotropin, and lactate dehydrogenase. The mass was slowly growing and surgically resection was performed diagnosing leiomyosarcoma with histological examination. Wide local excision with a 2-cm margin around the operative scar and right orchiectomy were performed as second surgery. The patient has not suffered recurrence for 28 months. Keywords: Subcutaneous leiomyosarcoma of the scrotum, Wide local excision, Orchiectomy, Safe margin, Slowly growing mass