Primary intratesticular leiomyosarcoma.
This case report describes a 73-year-old male presenting with a six-year history of scrotal swelling, which was diagnosed as primary intratesticular leiomyosarcoma following radical orchiectomy. Radiological examinations identified multiple metastases in the lungs and para-aortic lymph nodes, representing the first reported instance of this rare tumor with such widespread dissemination. The authors note that only nine prior cases of adult intratesticular leiomyosarcoma had been documented in the literature up to this point. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
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