Primary epididymal leiomyosarcoma (A case report)

A 53 year old male patient presented with a mass in his right testis to the urology clinic of Şanlıurfa Government Hospital. On physical examination, a nodular, firm mass located on the upper pole of testis was palpated. The patient was treated with a radical right orchiectomy and high cord ligation. On macroscopic examination, a firm, well circumscribed, white - gray nodular mass with a whorled cut surface was seen. The mass had pushed the intact testis tissue to the lower pole. Histopathologically, a sarcomatous tumor which consisted a lot of atypical mitotic figures was seen. The tumoral mass reacted positively with actin, desmin and vimentin. With these findings, a primary epididymal leiomyosarcoma was diagnosed. Since, these are rare neoplasms, we aimed to present and discuss this case with its clinicopathological and immunohistochemical aspects in the light of literature.