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Other Comments:
This paper reports a rare and interesting condition, which is difficult to define before surgery.
A scrotal ultrasonographic examination is not reported before surgical removal of the mass.
Leiomyosarcomas of the scrotal wall usually arise from the dartos muscle, but they cannot be differentiated from other leiomyosarcomas of the skin by histologic examination alone. i suggest to specify more clearly in the article the origin of the mass, and since most authors recommend radical orchiectomy with wide surgical excision for leiomyosarcomas of the paratesticular structures and hemiscrotectomy for those that arise or invade the scrotum (the indication for retroperitoneal lymphadenectomy is controversial), the authors should comment in the discussion why, although microscopic examination revealed subcutaneous spindle cell tumour, they authors did not consider radical orchiectomy once histology was definitive, and complete excision of the mass including a margin of normal tissue was performed and regarded as an appropriate treatment.
Long-term follow-up is necessitated by the development of late recurrences.
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Competing interests:
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References:
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Experience and credentials in the specific area of science:
obtained from literature review
- How to cite: Porru D .re: Subcutaneous Scrotal Leiomyosarcoma Presenting As Pedunculated Multi-locular Cystic Growth In The Scrotum Mimicking A Sebaceous Cyst: A Case Report And Review Of The Literature [Review of the article 'Subcutaneous Scrotal Leiomyosarcoma Presenting as Pedunculated Multi-locular Cystic Growth in the Scrotum Mimicking a Sebaceous Cyst: A Case Report and Review of the Literature ' by Ahmed K].WebmedCentral 2012;3(1):WMCRW001370
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Practicing urologist in a university teaching hospital setting