Case Report
 
Primary intratesticular leiomyosarcoma in a 78-year-old male
Wissem Hmida1, Faouzi Mallat1, Mouna Ben Othmen1, Khaled Ben Ahmed1, Sidiyaould Chavey2, Sarra Mestiri3, Amel Ben Abdallah2, Faouzi Mosbah4
1MD, Department of Urology, Sahloul Hospital, Sousse, Tunisia.
2MD, Department of Radiology, Sahloul Hospital, Sousse, Tunisia.
3MD, Department of Pathology, Farhat Hached Hospital, Sousse, Tunisia.
4Professor, Department of Urology, Sahloul Hospital, Sousse, Tunisia.

doi:10.5348/ijcri-2014128-CR-10439

Address correspondence to:
Dr. Wissem Hmida
Department of Urology, Hospital of Sahloul
Sousse
Tunisia
Phone: +216 98452331
Email: wisshm@yahoo.fr

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How to cite this article
Hmida W, Mallat F, Othmen MB, Ben Ahmed K, Chavey S, Mestiri S, Abdallah AB, Mosbah F. Primary intratesticular leiomyosarcoma in a 78-year-old male. Int J Case Rep Images 2014;5(10):717–722.


Abstract
Introduction: Primary leiomyosarcoma of the testis is a rare entity with only less than 20 cases were reported. The standard therapy is difficult to recommend because of the rarity of this tumor.
Case Report: We reported a case of primary intratesticular leiomyosarcoma in a 78-year-old male with unremarkable past medical history. The patient was presented within isolated testicular enlargement. Ultrasound revealed a large solid, homogenous and hyper echoic mass of the right testicle. Lactate dehydrogenase (LDH) was elevated, however, serum alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (β-hCG) were within normal limits. A right radical orchidectomy was performed. The diagnosis of primary leiomyosarcoma of testis was confirmed by histopathology.
Conclusion: The primary leiomyosarcoma of testis is a rare diagnosis which should be one of the differential diagnoses of testicular mass with normal tumor markers.

Keywords: Testis, Intratesticular tumor, Leiomyosarcoma, Radical orchiectomy


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Author Contributions
Wissem Hmida – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Faouzi Mallat – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Mouna Ben Othmen – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Khaled Ben Ahmed – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Sidiya Ould Chavey – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sarra Mestiri – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Amel Ben Abdallah – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Faouzi Mosbah – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellrctual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Wissem Hmida et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Wissem Hmida is Assistant Professor at Department of Urology, Shloul Hospital, Sousse, Tunisia. His research interests include laparoscopy and kidney transplantation. Email: wisshm@yahoo.fr



Faouzi Mallat MD, Department of Urology, Sahloul Hospital, Sousse, Tunisia.



Mouna Ben Othmen MD, Department of Urology, Sahloul Hospital, Sousse, Tunisia.



Khaled Ben Ahmed MD, Department of Urology, Sahloul Hospital, Sousse, Tunisia.



Sidiyaould Chavey MD, Department of Radiology, Sahloul Hospital, Sousse, Tunisia.



Sarra Mestiri MD, Department of Pathology, Farhat Hached Hospital, Sousse, Tunisia.



Amel Ben Abdallah MD, Department of Radiology, Sahloul Hospital, Sousse, Tunisia.



Faouzi Mosbah is Professor, Department of Urology, Sahloul Hospital, Sousse, Tunisia.