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Liposarcoma of the spermatic cord

Liposarcoma of the spermatic cord IntroductionScrotal neoplasms arising from the spermatic cord are rare. As a consequence they are often misdiagnosed as being one of the more common non‐neoplastic scrotal swellings. We describe such a case and review the features of the lesion.Case reportAn 80‐year‐old man presented with a painless lump in the right side of the scrotum. The lump had been discovered by the patient after an episode of scrotal trauma, ten years previously, and had gradually increased in size. Physical examination revealed a mass above the right testis, which did not transilluminate. The clinical diagnosis was an epididymal cyst complicated by old haemorrhage. Scrotal exploration revealed a large solid mass separate from the testis extending up to the superficial inguinal ring. The incision was extended into the groin to expose the inguinal canal and, after transecting the cord at the deep ring, a right radical orchidectomy with en bloc excision of the mass was performed. A co‐existent, direct inguinal hernia was repaired by a Bassini herniorrhaphy. Histology revealed a well‐differentiated low‐grade liposarcoma with no proximal involvement of the spermatic cord. A CT scan failed to show evidence of intra‐abdominal metastases or primary retroperitoneal liposarcoma. The patient made a satisfactory recovery and had http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Clinical Practice Wiley

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References (16)

Publisher
Wiley
Copyright
© John Wiley & Sons Ltd
ISSN
1742-1241
DOI
10.1111/j.1742-1241.1990.tb10232.x
Publisher site
See Article on Publisher Site

Abstract

IntroductionScrotal neoplasms arising from the spermatic cord are rare. As a consequence they are often misdiagnosed as being one of the more common non‐neoplastic scrotal swellings. We describe such a case and review the features of the lesion.Case reportAn 80‐year‐old man presented with a painless lump in the right side of the scrotum. The lump had been discovered by the patient after an episode of scrotal trauma, ten years previously, and had gradually increased in size. Physical examination revealed a mass above the right testis, which did not transilluminate. The clinical diagnosis was an epididymal cyst complicated by old haemorrhage. Scrotal exploration revealed a large solid mass separate from the testis extending up to the superficial inguinal ring. The incision was extended into the groin to expose the inguinal canal and, after transecting the cord at the deep ring, a right radical orchidectomy with en bloc excision of the mass was performed. A co‐existent, direct inguinal hernia was repaired by a Bassini herniorrhaphy. Histology revealed a well‐differentiated low‐grade liposarcoma with no proximal involvement of the spermatic cord. A CT scan failed to show evidence of intra‐abdominal metastases or primary retroperitoneal liposarcoma. The patient made a satisfactory recovery and had

Journal

International Journal of Clinical PracticeWiley

Published: Dec 1, 1990

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