[Spermatic cord leiomyosarcoma. Case report and bibliographic review].

OBJECTIVE

To report one new case of paratesticular leiomyosarcoma.

METHODS

We describe the case of a 68-year-old male patient consulting for right groin pain over two years with a physical examination corresponding to right inguinal hernia. During surgery for hernia correction a paratesticular mass was discovered.

RESULTS

Right radical orchiectomy was performed. After the operation there was a recurrence at the scar which was operated and finally the disease progressed both locally and systemically.

CONCLUSIONS

We point out the scarce frequency of this type of tumours. We believe that orchiectomy and excision of the cord is the treatment of choice. The use of adjuvant therapies doesn't influence survival significantly.