Leiomyosarcoma of spermatic cord-case report for its rarity

Leiomyosarcoma of spermatic cord are extremely rare.About 110 cases have been reported in the literature.A 65 year old man with 2 year history of painless lump in the right hemiscrotum.scrotal examination revealed a 1510cm hard mass with irregular surface.USG reported as right testicular mass.we treated patient with radical inguinal orchiectomy. Histology suggested a leiomyosarcoma of spermatic cord. Although the condition is rare,it should be one of the differential diagnoses for a firm-to-hard lump in the cord. Apart from radical orchidectomy, there has been added benefit of adjuvant radiotherapy to prevent any loco-regional lymph node recurrence.