Abstract

A 54-year-old man presents with a left scrotal mass with abdominal pain. The investigation18F-FDG PET/CT reveals hypermetabolic heterogenous enhanced mass at leftspermatic cord but non 18F-FDG avid hypodensitic mass at left lobe of the liver isobserved. Left orchiectomy with high ligation of the left spermatic cord and lefthepatectomy were performed. The pathological fi nding reveals leiomyosarcomaarising from spermatic cord with liver metastasis. Follow-up at 6 months shows noevidence of recurrence by 18F-FDG PET/CT examination.

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