Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature
Abstract Background Primary testicular leiomyosarcoma has a rare occurrence and the diagnosis is uncertain on pre-operative assessment. It is often seen in the background of chronic inflammation, radiotherapy, and the use of high-dose anabolic steroids. Case presentation We report a case of a painle...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-10-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12301-022-00325-3 |
| _version_ | 1797991632967041024 |
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| author | Brijmohan Joshi Ritesh Goel Anant Kumar Ruchir Maheshwari Samit Chaturvedi Satish Kumar Ranjan |
| author_facet | Brijmohan Joshi Ritesh Goel Anant Kumar Ruchir Maheshwari Samit Chaturvedi Satish Kumar Ranjan |
| author_sort | Brijmohan Joshi |
| collection | DOAJ |
| description | Abstract Background Primary testicular leiomyosarcoma has a rare occurrence and the diagnosis is uncertain on pre-operative assessment. It is often seen in the background of chronic inflammation, radiotherapy, and the use of high-dose anabolic steroids. Case presentation We report a case of a painless testicular lump in a septuagenarian with pre-existing diabetes mellitus and hypertension but without any oncological risk factors. The primary workup did not reveal any elevation of serum tumour markers or any signs of metastatic disease on contrast imaging. The patient underwent a high inguinal orchiectomy due to a suspicion of germ cell tumor, and histopathology and immunohistochemistry confirmed the diagnosis of leiomyosarcoma. Conclusion Testicular leiomyosarcoma in the elderly is a rare malignancy and usually occur without any pre-existing risk factors. Early treatment provides long-term curative oncological control. |
| first_indexed | 2024-04-11T08:54:01Z |
| format | Article |
| id | doaj.art-784bc15e35494f029ddcb34ae1798d1f |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-04-11T08:54:01Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-784bc15e35494f029ddcb34ae1798d1f2022-12-22T04:33:20ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872022-10-012811510.1186/s12301-022-00325-3Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literatureBrijmohan Joshi0Ritesh Goel1Anant Kumar2Ruchir Maheshwari3Samit Chaturvedi4Satish Kumar Ranjan5Department of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalDepartment of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalDepartment of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalDepartment of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalDepartment of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalDepartment of Urology, Robotic-Oncology and Renal Transplant, Max Super Speciality HospitalAbstract Background Primary testicular leiomyosarcoma has a rare occurrence and the diagnosis is uncertain on pre-operative assessment. It is often seen in the background of chronic inflammation, radiotherapy, and the use of high-dose anabolic steroids. Case presentation We report a case of a painless testicular lump in a septuagenarian with pre-existing diabetes mellitus and hypertension but without any oncological risk factors. The primary workup did not reveal any elevation of serum tumour markers or any signs of metastatic disease on contrast imaging. The patient underwent a high inguinal orchiectomy due to a suspicion of germ cell tumor, and histopathology and immunohistochemistry confirmed the diagnosis of leiomyosarcoma. Conclusion Testicular leiomyosarcoma in the elderly is a rare malignancy and usually occur without any pre-existing risk factors. Early treatment provides long-term curative oncological control.https://doi.org/10.1186/s12301-022-00325-3LeiomyosarcomaTesticular massGeriatric oncologyPainless testis mass |
| spellingShingle | Brijmohan Joshi Ritesh Goel Anant Kumar Ruchir Maheshwari Samit Chaturvedi Satish Kumar Ranjan Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature African Journal of Urology Leiomyosarcoma Testicular mass Geriatric oncology Painless testis mass |
| title | Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature |
| title_full | Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature |
| title_fullStr | Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature |
| title_full_unstemmed | Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature |
| title_short | Leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian: a case report with review of the literature |
| title_sort | leiomyosarcoma presenting as unilateral painless testicular mass in a septuagenarian a case report with review of the literature |
| topic | Leiomyosarcoma Testicular mass Geriatric oncology Painless testis mass |
| url | https://doi.org/10.1186/s12301-022-00325-3 |
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