Leiomyosarcoma of Spermatic Cord: A Rare Malignancy

Malignant smooth muscle tumors called leiomyosarcomas are extremely unusual in the genitourinary tract.This case report describes a 55-year-old man who was diagnosed with leiomyosarcoma of the spermaticcord. He initially presented with a 3-month history of dull, aching pain and a mass in his left hemiscrotum. Clinical examination revealed a hard, non-tender 4x4 cm mass in the scrotum, which was poorly separatedfrom the testis and adhered to the adjacent scrotal wall. The patient also reported excoriation and unhealthysecretions on the overlying skin for 15 days. Laboratory investigations and imaging studies were consistentwith a spermatic cord mass. The patient underwent a left-sided high orchidectomy with excision of thescrotal wall. The tumor was found to be T1bN0M0, stage 1A, and well differentiated. Following a successfulsurgical excision, the patient is doing well on regular follow-ups. J Dhaka National Med. Coll. Hos. 2025; 31 (02): 46-48