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Case Reports in Oncological Medicine
Volume 2014, Article ID 768379, 3 pages
http://dx.doi.org/10.1155/2014/768379
Case Report

High Grade Myofibroblastic Sarcoma of Paratesticular Soft Tissues

11st University Urology Clinic, Laiko Hospital, University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece
2Department of Urology, Athens University Medical School, Laiko Hospital, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece
32nd Department of Surgery, Laiko General Hospital, Medical School of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece
4Department of Obstetrics and Gynecology, G. Gennimatas General Hospital, Mesogeion Avenue 154, Attiki, 11527 Athens, Greece
51st Department of Surgery, University of Athens Medical School, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece
6Department of Pathology, National and Kapodistrian University of Athens, 17 Agiou Thoma Street, Attiki, 11527 Athens, Greece

Received 29 June 2014; Accepted 22 July 2014; Published 11 August 2014

Academic Editor: Yoshihito Yokoyama

Copyright © 2014 Ioannis Anastasiou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tumors of the paratesticular region most often arise from the soft tissue surrounding the spermatic cord and the epididymis or from the soft tissue (dartos muscle) of the scrotal wall. Paratesticular tumors, despite their rarity, present a high incidence of malignancy (30%), and the therapeutic approach of choice is surgical resection with negative margin. The grade, the histology type, the presence of metastases during the diagnosis, the size of the tumor, the age of the patients, and the surgical margins are all important prognostic factors. We present a case report of a 86-year-old patient with a high grade paratesticular and scrotum sarcoma of soft tissues which was presented as a hard painful mass of the scrotum. The patient was subjected to high ligation of the spermatic cord and received no further treatment and 6 months after the operation no local or systematic recurrence was observed.