PMC6461569_01
A: Scrotal ultrasound showing a well-circumscribed mass of mixed heterogeneous echogenicity on the right side. B: Doppler ultrasound demonstrating increased vascularity of the lesion.
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Ultrasound of the scrotum (Fig. 1-A) showed 4 x 3 x 4 cm, circumscribed heterogeneous solid extra-testicular mass located above the right testicle with increasing vascularity (Fig. 1-B) suggesting a neoplastic mass.
Intraoperatively: asterisk: Spermatic cord mass.
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During the surgery a mass is seen arising from the upper part of the cord while the testis and epididymis were separate from the lesion (Fig. 2).
Interlacing fascicles of spindle cells with high cellularity and atypical mitosis.
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Microscopic examination (Fig. 3) of the well -delineated mass demonstrated fascicles of spindle cells with eosinophilic cytoplasm of probable smooth muscle origin.