ISSN 2149-3235 | E-ISSN 2149-3057
Case Report
Primary high grade testicular leiomyosarcoma: A rare malignancy in a young male
1 National Institute of Pathology (ICMR) Safdarjung Hospital, New Delhi, India  
2 Department of Urology, Safdarjung Hospital, New Delhi, India  
Turk J Urol 2018; 44: 178-181
DOI: 10.5152/tud.2017.15821
Key Words: Immunohistochemistry; leiomyosarcoma; sarcoma; testis

A 27-year-old male presented with a gradually increasing left scrotal mass. There was no significant past medical history. Ultrasonography of the left scrotum showed a hypoechoic, intratesticular mass with solid and cystic components. Laboratory investigations revealed normal serum levels of alpha-fetoprotein, beta human chorionic gonadotropin and lactate dehydrogenase. He underwent left high inguinal orchidectomy due to suspicion of testicular malignancy. After histopathologic examination and immunostaining, a diagnosis of high- grade primary testicular leimyosarcoma was ascertained. Only a few cases of primary intratesticular leiomyosarcoma have been reported in literature with the mean age of presentation of 50 years. In younger individuals, these tumors have been reported in a setting of predisposing factors like anabolic steroid use, testicular germ cell tumors, chronic inflammation of testis and testicular field radiation for treatment of leukemia. We present a case of high grade leiomyosarcoma of testis in a young male without any known predisposing factors.




Cite this article as: Siraj F, Sharma S, Rai CB, Vasudeva P. Primary high grade testicular leiomyosarcoma: A rare malignancy in a young male. Turk J Urol 2018; 44(2): 178-81.

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