Feasibility and safety of conservative surgery for the treatment of spermatic cord leiomyosarcoma.
Int J Surg
; 24(Pt A): 81-4, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26578108
ABSTRACT
OBJECTIVES:
To assess the feasibility and the safety of conservative surgery to treat spermatic cord leiomyosarcoma.METHODS:
Patients undergoing inguinoscrotal exploration in 10 different Urological Centers with diagnosis of leiomyosarcoma were enrolled. Preoperative evaluation included physical examination, Scrotal US, Abdominal CT and Scrotal MRI in selected cases. Patients underwent organ sparing surgery or orchiectomy in case of intraoperative FSE was positive for a local infiltration. Data collected were age, presence of infiltration, length of the lesion, number of lesions, definitive histological outcome, pre and postoperative testosterone level. Follow up was performed with abdomen CT scan and scrotal US.RESULTS:
From January 2007 to December 2013, 23 patients (mean age 64.7 yrs) were diagnosed with spermatic cord leiomyosarcoma. Each patients underwent scrotal US. 10 patients underwent radical orchiectomy and 13 patients underwent conservative surgery. Mean follow up was 36.5 months. 5 patients (21.7%) developed a recurrent disease, 18 patients (78.3%) had a negative follow up (mean time 40.8 months). Statistical analysis reveals that there is a significant correlation between number of lesions, length of the lesions and recurrent disease.CONCLUSIONS:
Spermatic cord leiomyosarcoma is a rare disease. Conservative surgical treatment of spermatic cord leiomyosarcoma is a feasible therapeutic option for small, single and not infiltrating lesion.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cordão Espermático
/
Neoplasias Testiculares
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Orquiectomia
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Segurança do Paciente
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Leiomiossarcoma
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
Limite:
Aged
/
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article