原发性精索平滑肌肉瘤一例报告

A case report of primary leiomyosarcoma of the spermatic cord

本文回顾性分析承德医学院附属医院收治的1例精索平滑肌肉瘤患者的临床资料,对其临床特点、诊断、治疗及预后进行讨论。本例临床表现为无痛性肿块,行根治性左侧睾丸切除术+左侧精索高位结扎术。术后病理诊断为精索平滑肌肉瘤。本病确诊依靠病理检查。治疗以根治性切除术为主,术后放疗可减少复发,提高远期生存率。

This study retrospectively analyzed the clinical data of 1 case of spermatic cord leiomyosarcoma admitted to the urology department of the Affiliated Hospital of Chengde Medical College.The clinical characteristics,diagnosis,treatment and prognosis was discussed with the literature review.Radical resection of the left testicle and high ligation of the left spermatic cord were performed.Postoperative pathology was spermatic cord leiomyosarcoma.Its clinical manifestations are painless masses,which are mainly confirmed by pathological examination.The treatment is mainly radical resection,and postoperative radiotherapy can improve the prognosis and reduce recurrence.