Leiomyosarcoma of the spermatic cord: A light and ultrastructural description of one case

Marco Alberghini, Licciana Zanella, Patrizia Bacchini, Maria Cristina Maltarello, Nadir Mario Maraldi, Franco Bertoni

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A case of leiomyosarcoma arising in the spermatic cord is described. A 83-year-old man required medical care for an irreducible inguinal hernia. The patient underwent herniorraphy and transinguinal radical orchiectomy. Macroscopically, the spermatic cord was enlarged by a gray-tan and ill-defined neoplasm measuring 4×4×3 cm. Histologically, this proliferation was composed of atypical spindle cells with blunted end nuclei and eosinophilic cytoplasm. Immunohistochemistry and ultrastructure confirmed the smooth muscle nature of the neoplastic cells. The diagnosis of leiomyosarcoma of the spermatic cord was made. To improve the assignment of this rare lesion to its specific anatomic location, we analyzed the immunohistochemical and ultrastructural characteristics of the smooth muscle tumoral cells and in particular those of the intracellular filament aggregates.

Original languageEnglish
Pages (from-to)487-491
Number of pages5
JournalPathology Research and Practice
Issue number6
Publication statusPublished - Jul 14 2004


  • Immunohistochemistry
  • Leiomyosarcoma
  • Paratesticular sarcomas
  • Spermatic cord
  • Ultrastructure

ASJC Scopus subject areas

  • Pathology and Forensic Medicine


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