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dc.contributor.authorGalosi, Andrea B.
dc.contributor.authorScarpelli, Marina
dc.contributor.authorMazzucchelli, Roberta
dc.contributor.authorLópez-Beltrán, Antonio
dc.contributor.authorGiustini, Lucio
dc.contributor.authorCheng, Liang
dc.contributor.authorMontironi, Rodolfo
dc.date.accessioned2017-01-18T12:37:02Z
dc.date.available2017-01-18T12:37:02Z
dc.date.issued2014
dc.identifier.urihttp://hdl.handle.net/10396/14328
dc.description.abstractBackground: The aim of this report is related to adult primary paratesticular mesenchymal tumors with emphasis on a case presentation and discussion of the spermatic cord leiomyosarcoma. Primary paratesticular tumors are rare, only accounting for 7% to 10% of all intrascrotal tumors. In adults, more than 75% of these lesions arise from the spermatic cord, 20% being leiomyosarcoma. Tumor grade, stage, histologic type, and lymph node involvement are independently predictive of prognosis. Findings: The case report concerns a 81-year-old man presented with a 3-year history of painless lump in the right hemiscrotum. Scrotal examination demonstrated a 5.1-cm, firm-to-hard mass attached to the spermatic cord. Scrotal ultrasound scan revealed a heterogeneous mass separate from the testis. He was treated with an radical orchi-funicolectomy. Histologically the lesion is composed of spindled cells with often elongated, blunt-ended nuclei and variably eosinophilic cytoplasm. Areas with pleomorphic morphology are present. The level of mitotic activity is equal to 3/10 HPF in the areas with spindle cell morphology and to 12/10 HPF in the areas with pleomorphic morphology. The final diagnosis was that a leiomyosarcoma of the spermatic cord, with grade 1 and grade 2 areas, stage pT2b cN0 and cM0. The patient has been followed up for 3 months with CT scans and shows no signs of recurrence. Conclusions: Spermatic cord leiomyosarcoma, although rare, should be one of the first differential diagnoses for a firm-to-hard lump in the cord. Apart from radical orchi-funicolectomy, there has been added benefit of adjuvant radiotherapy to prevent any loco-regional lymph node recurrencees_ES
dc.format.mimetypeapplication/pdfes_ES
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/4.0/es_ES
dc.sourceDiagnostic Pathology, 9:90 (2014)es_ES
dc.subjectLeiomyosarcoma of the spermatic cordes_ES
dc.subjectMesenchymal tumors of the scrotumes_ES
dc.subjectSpermatic cordes_ES
dc.subjectLiposarcomaes_ES
dc.subjectRhabdomyosarcomaes_ES
dc.titleAdult primary paratesticular mesenchymal tumors with emphasis on a case presentation and discussion of spermatic cord leiomyosarcomaes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttp://www.diagnosticpathology.org/content/9/1/90es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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