Liposarcoma of the Spermatic Cord

Abstract

In a 57-year-old man, a suspected incarcerated left inguinal hernia proved to be multifocal dedifferentiated liposarcoma of the spermatic cord. Radical orchiectomy and wide excision were performed, but marginal biopsies were positive for tumour. Radiotherapy was given.

Liposarcoma of the spermatic cord mimicking a left inguinal hernia: a case report and literature review

“…Radiotherapy is only recommended in selected patients whose pathological findings show intermediate or high histological grade or recurrent form. In our review, only four cases underwent radiotherapy because of DL or PDL in histopathology or invasion of section margins [2,20,32,33]. There is no consensus on the benefit of adjuvant chemotherapy.…”

Giant Paratesticular Undifferentiated Liposarcoma that Developed in a Long-Standing Inguinal Hernia

“…An epidemiological study from The Netherlands found that soft tissue sarcomas occur in 3.6/100.000 inhabitants (13). Primi-tive scrotal liposarcomas have been previously described, usually in the absence of an inguinal hernia (2,(4)(5)(6)9) but sometimes in the presence of a hernia (8,11,14). In patients who had herniorrhaphies the incidence of liposarcomas was nearly 0.1% (8,11).…”

Spermatic Cord Sarcoma in Adults

“…Retroperitoneal lymphadenectomy is not indicated owing to the low malignancy potential of these sarcomas (11). Postoperative radiation therapy is an optional adjuvant treatment (12,13). Recurrences are frequent, owing to incomplete surgical removal of the tumor (13).…”