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Leiomyosarcoma of the spermatic cord presenting as an incarcerated inguinal hernia: A rare presentation of a rare condition

Journal of Surgical Case Reports, ISSN: 2042-8812, Vol: 2021, Issue: 2, Page: rjaa589
2021
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Article Description

Leiomyosarcomas of the spermatic cord are rare malignancies with only sporadic cases (less than 150) reported in the literature. Preoperative diagnosis of a paratestical leiomyosarcoma is challenging. Clinicians do not typically consider inguinoscrotal lumps as underlying sarcomas due to their relatively low prevalence compared with hernias. As a result the diagnosis of a sarcoma of the paratesticular area is often hard to reach. Herein, we report a rare case of a leiomyosarcoma originating from the spermatic cord, masquerading as a strangulated inguinal hernia. Intraoperatively, a mass arising from the spermatic cord was found and excised. A supplementary orchiectomy with high ligation of the spermatic cord was also performed.

Bibliographic Details

Christodoulidis, Gregory; Samara, Athina Α; Perivoliotis, Konstantinos; Floros, Theodoros; Volakakis, Georgios; Magouliotis, Dimitrios E; Papamichali, Roidoula; Tepetes, Konstantinos

Oxford University Press (OUP)

Medicine

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