case_images: PMC6461569_01
case_images: 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.
case_images: gr1.jpg
case_images: PMC6461569_01_gr1.jpg
case_images: fig0005
case_images: 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.
case_images: Intraoperatively: asterisk: Spermatic cord mass.
case_images: gr2.jpg
case_images: PMC6461569_01_gr2.jpg
case_images: fig0010
case_images: 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).
case_images: Interlacing fascicles of spindle cells with high cellularity and atypical mitosis.
case_images: gr3.jpg
case_images: PMC6461569_01_gr3.jpg
case_images: fig0015
case_images: Microscopic examination (Fig. 3) of the well -delineated mass demonstrated fascicles of spindle cells with eosinophilic cytoplasm of probable smooth muscle origin.