Leiomyosarcoma is a rare tumor of testis and up to date only 30 cases have been reported in globally(1). It is a malignant soft tissue tumors arising from the undifferentiated smooth muscle cells of mesenchymal origin(2). For the first time itwas reported by Yachia. D and Auslaender in 1989 and the last case was reported in 2018 by Siraj (3, 4).Clinical and radiological presentation of Leiomyosarcoma remains similar to other testicular malignancies(5,6). Scrotal Ultrasound usually shows a well-delineated hypoechoic mass with or without calcifications(7). Computed tomography (CT) play important role in the detection of metastases(8). The diagnosis is confirmed after histological and Immunohistochemical studies (6).

Leiomyosarcoma is a rare tumor of testis and up to date only 30 cases have been reported in globally(1).