Paratesticular leiomyosarcoma treated by enucleation



Título del documento: Paratesticular leiomyosarcoma treated by enucleation
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296943
ISSN: 1677-5538
Autores: 1

Instituciones: 1Hospital Sirio Libanes, Sao Paulo. Brasil
Año:
Periodo: Ene-Feb
Volumen: 32
Número: 1
Paginación: 66-67
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, descriptivo
Resumen en inglés Spermatic cord leiomyosarcomas are rare tumors and standard treatment consists of radical orchiectomy and high cord ligation. We report a case of a paratesticular leiomyosarcoma successfully treated by enucleation. A 22-year-old man presented with a 6-months history of inguinal pain. Physical examination revealed a right paratesticular nodule about 0.5 cm in diameter. Inguinal exploration and nodule biopsy were performed. It was thought to be a benign epididymal nodule on a quick section and the tumor was enucleated and sent for paraffin section. Histology and immunohistochemistry were compatible with leiomyosarcoma. The patient was advised to undergo radical orchiectomy with high cord ligation. However, he refused surgery. An alternative approach with clinical, biochemical and radiological follow-up was adopted. The patient has been followed up for thirteen years and shows no evidence of disease
Disciplinas: Medicina
Palabras clave: Cirugía,
Oncología,
Leiomiosarcoma,
Cordón espermático,
Técnicas quirúrgicas
Keyword: Medicine,
Oncology,
Surgery,
Leiomyosarcoma,
Spermatic cord,
Surgical techniques
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