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