Wang Guang-chun, Peng Bo, Zhou Ting-ting, Liu Min, Xu Yun-fei, Huang Jian-hua and Zheng Jun-hua
A 60-year-old man presented with a 3-year history of painless soybean-like lump in the left hemiscrotum. Physical examination revealed a 2.5 cm tender, nonreducible, firm-to-hard lump palpable over the left spermatic cord. Ultrasonography showed that a well circumscribed 2.4 cm×2.2 cm solid lesion of with scattered blood flow signal was separate from the left testis and epididymis. Intraoperative frozen pathology indicated sarcoma, and thus left transinguinal radical orchidectomy and high ligation of the spermatic cord was performed. Definitive pathological diagnosis of this patient was the leiomyosarcoma of left spermatic cord and negative surgical margins. Due to no positive surgical margins, no lymphatic and distant metastasis, radiotherapy and chemotherapy was not recommended in this case. Regular and close follow-up with thoracoabdominopelvic CT for 68 months shows no signs of local recurrence and distant metastases.