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Urol Case Rep. 2019 Jan 22;23:90-91. doi: 10.1016/j.eucr.2019.01.015. eCollection 2019 Mar.

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.

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Department of Urology, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Shimokato 1110, Chuo-shi, Yamanashi 409-3821, Japan.


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.


Orchiectomy; Safe margin; Slowly growing mass; Subcutaneous leiomyosarcoma of the scrotum; Wide local excision

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