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KMID : 1144720230270010056
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Investigative Magnetic Resonance Imaging
2023 Volume.27 No. 1 p.56 ~ p.61
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Leiomyosarcoma of the Scrotum: A Case Report
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Hwang Ji-Yeong
Kim Keum-Won
Ryu Rae-Rim
Kim Young-Joong
Oh Dong-Hyun
Kim Hyeong-Chun
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Abstract
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Leiomyosarcoma (LMS) within the scrotum is a rare malignant genitourinary tumor in adults. Due to its rarity, a consensus on a clear approach to diagnosis and treatment guidelines has not yet been reached. We present a case of a paratesticular LMS in a 64-year-old man with a painless swelling of the right scrotum. Scrotal ultrasound and pelvic MRI were performed and revealed an extratesticular mass with a heterogeneous appearance. The patient underwent a right radical orchiectomy, and the mass was confirmed to be LMS, originating from the right spermatic cord. Preoperative diagnosis of LMS is challenging since it has overlapping clinical and imaging features with other sarcomas. MRI is a valuable imaging modality for the definitive characterization of the tumor. To provide timely and appropriate treatment, the correlation of the patient’s clinical information and imaging findings is necessary.
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KEYWORD
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Leiomyosarcoma, Paratesticular tumor, Paratesticular leiomyosarcoma, Magnetic resonance imaging
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