Paratesticular leiomyosarcoma: case report and review.

Paratesticular leiomyosarcoma is a rare entity. Greater than 95% of tumors arising within the scrotal sac are testicular in origin. Of the paratesticular tumors, rhabdomyosarcoma accounts for nearly half of malignant masses. Paratesticular leiomyosarcoma is infrequently encountered, resulting in a relative paucity of literature regarding this tumor type. Here we present a case report of a leiomyosarcoma arising from the spermatic cord in a 71-year-old man and review the literature regarding paratesticular leiomyosarcoma presentation, diagnosis and treatment.