Primary Intratesticular Leiomyosarcoma: A Case Report and Literature Review
1Department of Urology, Recep Tayyip Erdogan University, Faculty of Medicine, Rize, Türkiye
2Department of Pathology, Recep Tayyip Erdogan University, Faculty of Medicine, Rize, Türkiye
3Department of Radiology, Recep Tayyip Erdogan University, Faculty of Medicine, Rize, Türkiye
J Clin Pract Res - DOI: 10.14744/cpr.2026.36940

Abstract

Background: Primary intratesticular leiomyosarcomas are rare neoplasms. Diagnosis is established after radical inguinal orchiectomy through histological and immunohistochemical analysis. According to the literature, testicular leiomyosarcoma may exhibit indolent behavior and can potentially be cured with early detection and surgical intervention.
Case Report: A 63-year-old man presented with painless enlargement of the right testis. High inguinal orchiectomy was performed. Histopathological evaluation of the excised specimen demonstrated low-grade leiomyosarcoma.
Conclusion: The clinical, radiological, and histopathological characteristics of this tumor are described, along with an overview of current therapeutic approaches.