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A Rare Case of Right Testicular Leiomyosarcoma With Hepatic and Pulmonary Metastases

Year: 2025

Type: article

Abstract: Testicular leiomyosarcoma is an exceptionally rare malignant mesenchymal tumour with limited documentation in the literature. We report the case of a 50-year-old male presenting with progressive scrotal swelling and pain, who was diagnosed with right testicular leiomyosarcoma with synchronous hepatic and pulmonary metastases. The patient underwent right high orchiectomy, followed by systemic chemotherapy. Disease progression occurred after anthracycline-ifosfamide, requiring second-line docetaxel. This case highlights the aggressive clinical course and therapeutic challenges of testicular leiomyosarcoma, underscoring the need for more cumulative evidence to guide management.

Source: Cureus

DOI: 10.7759/cureus.96099

Authors: Kavi Chakravarthi M G, A Ravichandran, Yatish M Ellini, Kavuru Naga Siri, Bhargav Vuppumalla

Institution: Sri Ramachandra Institute of Higher Education and Research

Language: English

Topic: Sarcoma Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415891858