Liposarcoma del cordón espermático simulando una hernia inguinal incarcerada

Abstract

Liposarcoma of the spermatic cord mimicking an incarcerated inguinal hernia Introduction: Paratesticular tumors represent 7%-10% of intraescrotal masses. Sarcomas account for 90% of malignant lesions of the spermatic cord and of these approximately 3%-7% are liposarcomas. Clinical case: This is the case of a 45 year old male who consulted in the emergency department for a non-reducible right inguino-scrotal mass and was diagnosed with an incarcerated inguinal hernia. Emergency surgery was performed which revealed a large lipomatous tumor, originating from the spermatic cord. Orchiectomy and hernioplasty were performed. Histopathology revealed a well-differentiated liposarcoma of the spermatic cord. Later extension study was conducted, without distant affectation, and did not require adjuvant treatment. Today, after two years of monitoring has been no recurrence. Discussion: Only about 200 cases have been previously reported in the literature and only 61 of these were presented mimicking an incarcerated inguinal hernia. Due to the low incidence of this disease it is difficult to know the natural history and draw conclusions on the results of treatment, which so far remains the radical orchiectomy with wide local excision of the tissue. The role of radiotherapy and chemotherapy is still controversial

Giant Spermatic Cord Lipossarcoma: A Case Report

“…[1] These are, for the most part, made up of sarcomas, of which less than 10% are represented by liposarcomas, malignant neoplasms originating from primitive mesenchymal cells of the spermatic cord that usually affect male patients between 5th and 6th decades of life. [2,3,4] Liposarcomas arising in the spermatic cord, without an intra-abdominal component, are called primary spermatic cord/inguinoscrotal liposarcomas. [4] This condition corresponds to only 0.03% of all urological tumors according to the literature.…”