Electronic ISSN 2287-0237

VOLUME

A RARE CASE OF SINGLE, ISOLATED LIVER METASTASES FROM SPERMATIC CORD LEIOMYOSARCOMA

SEPTEMBER 2015 - VOL.10 | CASE REPORT

A 54-year-old man presents with a left scrotal mass with abdominal pain. The investigation 18F-FDG PET/CT reveals hypermetabolic heterogenous enhanced mass at left spermatic cord but non 18F-FDG avid hypodensitic mass at left lobe of the liver is observed. Left orchiectomy with high ligation of the left spermatic cord and left hepatectomy were performed. The pathological finding reveals leiomyosarcoma arising from spermatic cord with liver metastasis. Follow-up at 6 months shows no evidence of recurrence by 18F-FDG PET/CT examination.

Keywords

spermatic cord leiomyosarcoma, extratesticular liver metastasis, 18-F-FDG PET/CT findings

MEDIA
Figure 1: PET/CT scan revealed hypermetabolic heterogeneous enhanced mass at the left spermatic cord.
Figure 2: Non FDG avid hypodensitic mass at left lobe of the liver was observed.
Figure 3A-3B: Spindle cells with long cigar shape nuclei and pink cytoplasm, arranged in fascicular pattern, hematoxylene and eosin staining at 200x magnification.
Figure 4A-4B: Macroscopic appearance of the left testis reveals well circumscribed mass with minimal central necrosis (Figure 4A) at spermatic cord but no central necrosis at liver metastasis is observed (Figure 4B ).
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