Paratesticular Leiomyosarcoma Accompanying to Strangulated Inguinal Hernia

Abstract

Sarcomas arising from spermatic cord are rare malignant tumors that constitute 2.1% of soft tissue sarcomas and that are seen in the genitourinary system at the rate of 1-2%. A 74-year-old male patient was admitted to our emergency unit with the complaints of inguinal pain and swelling going on for the last 3 days. In the physical examination, an approximately 5x5 cm hard non-reducible mass in the right inguinal region and right inguinal hernia were detected. The computed tomography revealed a large hernia sac in the right inguinal region and a 77x55 mm mass inside it. The patient was performed radical orchiectomy and hernia repair. In the pathological evaluation of the mass, the diagnosis of paratesticular leiomyosarcoma was established. Postoperative local recurrence or distant metastasis was not observed in the 7th month. In conclusion, although paratesticular leiomyosarcomas are rarely encountered, they should be kept in mind in the elderly patient group, especially with inguinal mass