고환 주위 평활근 육종

Abstract

A paratesticular leiomyosarcoma is rare intrascrotal neoplasm. Only 29 cases have been reported in the entire world, with only two cases reported in Korea. Examination by electron microscope is required for the diagnosis of a leiomyosarcoma. The initial treatment is a radical inguinal orchiectomy, which requires long term follow up, with the efficacy of chemotherapy or radiotherapy being controversial. Herein, a case of 43-year-old man with a painful paratesticular leiomyosarcoma is reported, with a review of the literature. (Korean J Urol 2005;46:426-429)