Paratesticular Leiomyosarcoma: The First Reported Case From Sri Lanka.

Paratesticular leiomyosarcoma is an uncommon urological malignancy, with only a limited number of cases reported globally. This report describes the first documented instance in Sri Lanka. The patient was a 68-year-old male who presented with a painful mass on the left side of the scrotum. A high inguinal orchidectomy was performed, and histopathological analysis confirmed a diagnosis of paratesticular leiomyosarcoma. This case underscores the necessity of considering rare malignancies in the differential diagnosis of scrotal masses. It further highlights the critical role of imaging and histopathological evaluation in achieving an accurate diagnosis.