Paratesticular Tumors: A Report of Two Rare Cases
Keywords:
Leiomyoma, Scrotum, Testis, Undifferentiated pleomorphic sarcoma
Abstract
Paratesticular tumors are rare comprising 7-10% of total intrascrotal tumors of which 70% are benign and 30% are malignant. Leiomyomas and undifferentiated pleomorphic sarcomas are two such rare paratesticular tumors which should be accurately diagnosed for purpose of treatment and prognosis. We report here two cases. In first case, a 65-year-old man presented with paratesticular mass of 12 years duration. Histology showed features of benign spindle cell tumor. On immunohistochemistry the tumor cells were positive for vimentin, desmin, h-caldesmon and SMA. Based on these findings a diagnosis of leiomyoma of scrotum was made. In second case, a 66-year-old male presented with left paratesticular mass of eight months duration. Histology showed features of high-grade sarcoma. On immunohistochemistry tumor cells were focally positive for SMA and negative for h-caldesmon, desmin, calretinin and ALK-1. A final diagnosis of undifferentiated pleomorphic sarcoma of paratesticular region, grade 3/3 was made.References
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2. Rana S, Sharma P, Singh P, Satarkar RN. Leiomyoma of scrotum:A rare case report. Iranian Journal of Pathology 2015;10(3):243-47.
3. Asotra S. Leiomyoma of scrotum. Arch Med Health Sci 2016;4(2):238-40.
4. Ulker V, Atalay HA, Cakir C, Sargan A. Giant malignant fibrous histiocytoma of the testis. Turk J Urol 2018;44(1):79-81.
5. Sherwani RK, Rahman K, Akhtar K, Zaheer S, Hassan MJ, Haider A. Leiomyoma of scrotum. Indian J Pathol Microbiol 2008;51(1):72-73.
6. Guo J, Zhou S, Rao NP, Pez GH. Pleomorphic malignant fibrous histiocytoma/ undifferentiated high grade pleomorphic sarcoma of the scrotum in a patient presenting as fournier gangrene: A case report. Appl Immunohistochem Mol Morphol 2010;18(5):473-78.
7. Takezawa K, Matsuoka Y, Takao T, Nonomura N, Tomita Y, Okuyama A. Myxofibrosarcoma of the spermatic cord: A case report. Nihon Hinyokika Gakkai Zasshi 2008;99(3):555-59.
8. Khandelwal A, Gupta SK, Singh M, Kumar V, Tiwari R, Singh A. High grade pleomorphic sarcoma of the scrotum:A rare clinical entity. UroToday Int J 2012;5(2):64-66.
9. Kallianpur AA, Kapali A, Shukla NK, Deo SV, Muduly D, Yadav R. Intrascrotal paratesticular malignant fibrous histiocytoma a rare case and its management. Indian J Cancer 2015;52(4):688-89.
10. Nascimento AF, Raut CP. Diagnosis and management of pleomorphic sarcomas (so-called ‘MFH’) in adults. J Surg Oncol 2008; 97(4):330–39.
Published
2019-12-24
Issue
Section
Case Report
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