Abstract
Objective To study the diagnosis, treatment and prognostic features of primary epididymis leiomyosarcoma. Methods The clinical data of five cases of leiomyosarcoma of the epididymis in Ji'nan Central Hospital Affiliated to Shandong University were retrospectively reviewed and reviewed literatures to study the diagnosis, treatment and prognostic features. Results Five cases were underwent operation.Pathological examination confirmed the diagnosis of epididymis leiomyosarcoma.The patients were followed up for 3-32 months, 2 patients died due to multiple organs metastasis at 14 months and 25 months after operation.One patient died for acute myocardial infarction at 18 months after operation, 1 case was lost to follow up, 1 case was survival up to today. Conclusion Pathological examination is helpful in diagnosis.The radical inguinal orchiectomy with high ligation of the spermatic cord should be performed early.Primary epididymis leiomyosarcoma has highly aggressive course and prognosis is poor. Key words: Epididymis leiomyosarcoma; Diagnosis methods; Treatment; Prognosis
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