Cutaneous metastases from a leiomyosarcoma of the testicular tunica albuginea

Cutaneous metastases from a leiomyosarcoma of the testicular tunica albugin ea are very rare. Primary leiomyosarcomas in this site are uncommen and fur thermore cutaneous metastases develop only in 1,4% of all malignant tumors of the internal organs [10]. A 71 year old patient with such a sarcoma unde rwent primary excision. Nine months later multiple, firm, nodules were iden tified as cutaneous metastases. Further staging revealed already extensive, diffuse pulmonary and bony metastases without contiguous or regional lymph node involvement.