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Case Reports
. 2014 Sep;96(6):e8-9.
doi: 10.1308/003588414X13946184902208.

Leiomyosarcoma of the inguinal canal

R Patel  1 , P Chana, J Armstrong, R Lawrence
Affiliations
Case Reports

Leiomyosarcoma of the inguinal canal

R Patel et al. Ann R Coll Surg Engl. 2014 Sep.

Abstract

We describe a rare case of a leiomyosarcoma in the inguinal canal in a patient presenting clinically with an inguinal hernia. The clinical details, histological findings and surgical management are reviewed.

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Figures

Figure 1
Figure 1
Haematoxylin and eosin stain (400× magnification): There are plump pleomorphic spindle cells arranged in fascicles. They have prominent nucleoli and show mitotic activity (arrow). This supports the diagnosis of malignancy.
Figure 2
Figure 2
Immunohistochemical staining (200× magnification): There is variable but clear membrane staining with desmin (arrow), supporting the diagnosis of a leiomyosarcoma.
See this image and copyright information in PMC

References

    1. Kyratzi I, Lolis E, Antypa E et al. Imaging features of a huge spermatic cord leiomyosarcoma: review of the literature. World J Radiol 2011; 3: 114–119. - PMC - PubMed
    1. Weiss SW, Goldblum JR. Enzinger and Weiss’s Soft Tissue Tumors. 5th edn. St Louis, MO: Mosby; 2001. p545.
    1. Dangle P, Basavarai DR, Bhattarai S et al. Leiomyosarcoma of the spermatic cord: case report and literature review. Can Urol Assoc J 2007; 1: 55–58. - PMC - PubMed
    1. Rodríguez D, Olumi AF. Management of spermatic cord tumors: a rare urologic malignancy. Ther Adv Urol 2012; 4: 325–334. - PMC - PubMed

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