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A rare case of giant leiomyosarcoma in a filarial scrotum: a case report.

Talikoti MA, Deo SS, Shukla NK, Kallianpur AA, Gupta M - World J Surg Oncol (2011)

Bottom Line: A case of scrotum leiomyosarcoma is presented in a 67 year old patient with scrotal filariasis which was managed successfully with total scrotectomy with bilateral orchidectomy, degloved penis reconstructed with rotation advancement supra pubic fasciocutaneous flap.We made a literature search proving the rarity of this lesion type.Only 36 cases have been described and the first case in a filarial scrotum.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, BRAIRCH, AIIMS, New Delhi, 110029, India. drmajid2006@gmail.com

ABSTRACT
Giant leiomyosarcoma of scrotum is a rare tumour. A case of scrotum leiomyosarcoma is presented in a 67 year old patient with scrotal filariasis which was managed successfully with total scrotectomy with bilateral orchidectomy, degloved penis reconstructed with rotation advancement supra pubic fasciocutaneous flap. We made a literature search proving the rarity of this lesion type. Only 36 cases have been described and the first case in a filarial scrotum.

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Radical resection of tumour.
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Figure 5: Radical resection of tumour.

Mentions: On local examination, huge filarial scrotum with skin changes and buried penis, 30 × 30 cm ulcerated firm diffuse mass of the scrotal skin encroaching over the root of penile skin [figures 1, 2]. The tumour was mobile not fixed to the testes. Metastatic work up included CT chest and abdomen and was negative. Wedge biopsy was compatible with Leiomyosarcoma. After an informed written consent patient underwent a radical resection of tumour including total scrotectomy and bilateral orchidectomy, degloving of buried penis with reconstruction by rotation advancement supra pubic fasciocutaneous flap [figures 3, 4, 5, 6]. Patient recovery was uneventful. Patients ECOG performance scale improved from 3 to 1, he became ambulatory with his ability to perform routine plus outdoor activity on his own.


A rare case of giant leiomyosarcoma in a filarial scrotum: a case report.

Talikoti MA, Deo SS, Shukla NK, Kallianpur AA, Gupta M - World J Surg Oncol (2011)

Radical resection of tumour.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3049743&req=5

Figure 5: Radical resection of tumour.
Mentions: On local examination, huge filarial scrotum with skin changes and buried penis, 30 × 30 cm ulcerated firm diffuse mass of the scrotal skin encroaching over the root of penile skin [figures 1, 2]. The tumour was mobile not fixed to the testes. Metastatic work up included CT chest and abdomen and was negative. Wedge biopsy was compatible with Leiomyosarcoma. After an informed written consent patient underwent a radical resection of tumour including total scrotectomy and bilateral orchidectomy, degloving of buried penis with reconstruction by rotation advancement supra pubic fasciocutaneous flap [figures 3, 4, 5, 6]. Patient recovery was uneventful. Patients ECOG performance scale improved from 3 to 1, he became ambulatory with his ability to perform routine plus outdoor activity on his own.

Bottom Line: A case of scrotum leiomyosarcoma is presented in a 67 year old patient with scrotal filariasis which was managed successfully with total scrotectomy with bilateral orchidectomy, degloved penis reconstructed with rotation advancement supra pubic fasciocutaneous flap.We made a literature search proving the rarity of this lesion type.Only 36 cases have been described and the first case in a filarial scrotum.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, BRAIRCH, AIIMS, New Delhi, 110029, India. drmajid2006@gmail.com

ABSTRACT
Giant leiomyosarcoma of scrotum is a rare tumour. A case of scrotum leiomyosarcoma is presented in a 67 year old patient with scrotal filariasis which was managed successfully with total scrotectomy with bilateral orchidectomy, degloved penis reconstructed with rotation advancement supra pubic fasciocutaneous flap. We made a literature search proving the rarity of this lesion type. Only 36 cases have been described and the first case in a filarial scrotum.

Show MeSH
Related in: MedlinePlus