Spermatic cord leiomyosarcoma
Last revised by Jeremy Jones on 20 Sep 2021
Citation, DOI, disclosures and article data
Citation:
Morgan M, Jones J, Bell D, et al. Spermatic cord leiomyosarcoma. Reference article, Radiopaedia.org (Accessed on 16 Apr 2024) https://doi.org/10.53347/rID-34133
Permalink:
rID:
34133
Article created:
5 Feb 2015,
Matt A. Morgan ◉
Disclosures:
At the time the article was created Matt A. Morgan had no recorded disclosures.
View Matt A. Morgan's current disclosures
Last revised:
20 Sep 2021,
Jeremy Jones ◉
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
6 times, by
5 contributors -
see full revision history and disclosures
Systems:
Tags:
Synonyms:
- Spermatic cord leiomyosarcomas
- Leiomyosarcoma of spermatic cord
- Leiomyosarcoma of the spermatic cord
- Spermatic cord leiomyosarcomata
Spermatic cord leiomyosarcomas are uncommon malignant paratesticular masses.
On this page:
Epidemiology
Accounts for ~10% of spermatic cord sarcomas. The average of a patient at presentation is 58 years old (although has been seen as young as 15 years old).
Clinical features
Patients may have left inguinal swelling (typically painless).
Pathology
As with other leiomyosarcomas, they arise from smooth muscle (in this instance smooth muscle in the spermatic cord). On gross pathology they appear as firm, smooth masses, which may demonstrate some necrosis and hemorrhage.
Radiographic features
Although imaging findings can contribute to a differential diagnosis, biopsy is usually needed for diagnosis.
Ultrasound
Primary modality for evaluation
- heterogeneous
- hypoechoic
- increased vascularity on color Doppler
- more often in the scrotal part of the spermatic cord (lipoma more often at inguinal part)
MRI
- imaging features not defined
Treatment and prognosis
Treatment usually consists of transinguinal radical orchiectomy with adjuvant radiation therapy and chemotherapy.
See also
References
- 1. Akbar SA, Sayyed TA, Jafri SZ et-al. Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics. 2003;23 (6): 1461-76. doi:10.1148/rg.236025174 - Pubmed citation
- 2. Stein A, Kaplun A, Sova Y et-al. Leiomyosarcoma of the spermatic cord: report of two cases and review of the literature. World J Urol. 1996;14 (1): 59-61. Pubmed citation
- 3. Secil M, Kefi A, Gulbahar F et-al. Sonographic features of spermatic cord leiomyosarcoma. J Ultrasound Med. 2004;23 (7): 973-6. Pubmed citation
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