Large primary leiomyosarcoma of the seminal vesicle: A case report and literature revision

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Emanuele Corongiu *
Pietro Grande
Valerio Olivieri
Giorgio Pagliarella
Flavio Forte
(*) Corresponding Author:
Emanuele Corongiu | emanuele.corongiu@libero.it

Abstract

Primary Leiomyosarcoma of the seminal vesicle is a very rare condition. We report a case of a 74-year-old man with a tumour detected by rectal symptoms with pelvic pain and dysuria at ultrasonography. Computed tomography and magnetic resonance imaging suggest an origin in the left seminal vesicle and did not show a clear cleavage plan with the rectum and a right hydroureteronephrosis was also present. A radical vesiculo-cystoprostatectomy with ileal conduit and bilateral pelvic lymphadenectomy was performed, a sigmoidectomy with end colostomy was performed also. Pathological examination showed a high grade (G3) leiomyosarcoma of the seminal vesicle.


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