Dear Editor,
We would like to present a rare case of primary paratesticular leiomyosarcoma.Primary leiomyosarcoma of testis is a rare entity with few cases reported in literature.Most cases reported in the literature indicate that this may be an indolent tumor with a potential for cure if treated early.A 53-year-old man presented with a right scrotal swelling.A computarized tomography (CT) scan showed a heterogeneous enhancing 12 × 9 cm right scrotal mass.Radical orchiectomy with high ligation of the spermatic cord was performed.The mass was characterized as a grade 2 paratesticular leiomyosarcoma.Intensive followup including repeated CT scans was performed.No metastasis was found.