Leiomyosarcoma of the epididymis: 2 cases and review of the literature

Authors

  • Victor T.H. Yuen The University of Queensland, Mayne Medical School, Brisbane, Australia
  • Shane D. Kirby Burnaby General Hospital, Burnaby, BC
  • Young Chi Woo Burnaby General Hospital, Burnaby, BC

DOI:

https://doi.org/10.5489/cuaj.747

Abstract

Paratesticular leiomyosarcomas are rare. We report two cases of
leiomyosarcoma of the epididymis diagnosed and treated in a
regional community hospital in Canada in 2009 and 2010. Both
patients were males of ages 58 and 75, respectively. They presented
with painless masses which, on ultrasonography, appeared to be
solid masses demonstrating blood flow. Each patient underwent
trans-scrotal resection of the affected epididymis. Pathological
examination of trans-scrotal epididymectomy specimens confirmed
the diagnosis of high-grade leiomyosarcoma. Leiomyosarcoma is
an important differential diagnosis for paratesticular masses in the
elderly male; the primary treatment is radical inguinal orchiectomy
with high ligation of the spermatic cord.

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Author Biographies

Victor T.H. Yuen, The University of Queensland, Mayne Medical School, Brisbane, Australia

Shane D. Kirby, Burnaby General Hospital, Burnaby, BC

Young Chi Woo, Burnaby General Hospital, Burnaby, BC

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How to Cite

Yuen, V. T., Kirby, S. D., & Woo, Y. C. (2013). Leiomyosarcoma of the epididymis: 2 cases and review of the literature. Canadian Urological Association Journal, 5(6), E121-E124. https://doi.org/10.5489/cuaj.747

Issue

Vol. 5 No. 6 (2011): December

Section

Case Report

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