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Case Reports
. 2021 Feb 10;2021(2):rjaa589.
doi: 10.1093/jscr/rjaa589. eCollection 2021 Feb.

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

Gregory Christodoulidis  1 , Athina Α Samara  1 , Konstantinos Perivoliotis  1 , Theodoros Floros  1 , Georgios Volakakis  1 , Dimitrios E Magouliotis  1 , Roidoula Papamichali  2 , Konstantinos Tepetes  1
Affiliations
Case Reports

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

Gregory Christodoulidis et al. J Surg Case Rep. .

Abstract

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.

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Figures

Figure 1
Figure 1
Intraoperative image of the mass, with the asterisk depicting the spermatic cord.
See this image and copyright information in PMC

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