A Case of Paratesticular Leiomyosarcoma Successfully Treated with Orchiectomy and Chemotherapy.
- Author:
Bong Suk KO
1
;
Nae Yu KIM
;
Ah Jung RYU
;
Dong Soon KIM
;
Soo Jung GONG
;
Dae Kyung KIM
;
Hyun Jin SON
;
Jung Ae LEE
Author Information
1. Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. lee982023@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Leiomyosarcoma;
Orchiectomy;
Chemotherapy
- MeSH:
Doxorubicin;
Electrons;
Formycins;
Humans;
Ifosfamide;
Leiomyosarcoma;
Male;
Middle Aged;
Orchiectomy;
Ribonucleotides;
Testis
- From:Cancer Research and Treatment
2012;44(3):210-214
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old male patient presented with a right scrotal mass that had been growing rapidly for more than one year. A heterogeneous enhancing right scrotal mass (12x9 cm) with para-aortic and peri-caval lymphadenopathies was found on abdominal computed tomography (CT). Right orchiectomy was performed and the gross finding had shown intact testis with a well-defined, huge, whitish solid mass adjacent to the testis. According to pathology, the mass was characterized as a leiomyosarcoma, grade 3 (by National Cancer Instituted [NCI] system). Therefore, the diagnosis was stage III, grade 3 paratesticular leiomyosarcoma. The patient underwent additional systemic chemotherapy using ifosfamide and adriamycin. After nine cycles of chemotherapy, positron emission tomography-CT was performed and no FDP uptake was observed. The patient has been followed up for 12 months after systemic chemotherapy, and he has maintained a complete response. We report here on a rare case of paratesticular leiomyosarcoma treated successfully with orichiectomy and additional systemic chemotherapy.
