Paratesticular sarcoma of the spermatic cord: A rare case of dedifferentiated leiomyosarcoma

ÇİÇEK R., TOPÇU İ., DURAL B., TOPRAK S., YILDIRIM Ö. F., Karaçor Y.

Urology Case Reports, cilt.65, 2026 (ESCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 65
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.eucr.2026.103372
  • Dergi Adı: Urology Case Reports
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Anahtar Kelimeler: Dedifferentiated leiomyosarcoma, Immunohistochemistry, Paratesticular sarcoma, Radical inguinal orchiectomy
  • İnönü Üniversitesi Adresli: Evet

Özet

Paratesticular sarcomas are extremely rare tumors characterized by aggressive biological behavior and a significant risk of recurrence and metastasis. We present a rare case of paratesticular sarcoma ultimately diagnosed as dedifferentiated liposarcoma following comprehensive histopathological and immunohistochemical evaluation. The patient presented with complaints of scrotal edema and discomfort, and radical inguinal orchiectomy was performed. The definitive diagnosis was established through comprehensive histological and immunohistochemical evaluation and was defined as dedifferentiated liposarcoma. This report emphasizes the critical importance of comprehensive pathological evaluation and highlights total surgical excision as the primary approach in the treatment of paratesticular sarcomas due to their rarity and complex diagnosis