Abstract
Primary malignant tumours of spermatic cord are rare. The liposarcoma of spermatic cord is a rare entity and only a few cases have been reported in the literature. We report a case of forty five-year-old male with huge left inguinoscrotal swelling. Fine needle aspiration cytology (FNAC) of swelling revealed the diagnosis of a liposarcoma. The patient was subjected to radical orchidectomy and wide excision. Histopathological examination (HPE) of the resected specimen reported a well-differentiated liposarcoma of the spermatic cord and confirmed the diagnosis.
Highlights
Liposarcoma of the spermatic cord is a rare condition, representing approximately 7% of paratesticular sarcomas [1]
Fine needle aspiration cytology (FNAC) of the swelling was advised, which established the diagnosis of a liposarcoma
Lipomatous tissue plays a little role in spermatic cord malignancies, comprising only 5% to 7% of all spermatic cord sarcomas
Summary
Liposarcoma of the spermatic cord is a rare condition, representing approximately 7% of paratesticular sarcomas [1]. Smooth-surfaced tender swelling and at the same time testis could be felt separately. CECT pelvis and abdomen revealed a huge paratesticular tumor with an impression of a sarcoma (Figure 2). It excluded the presence of any lymph node involvement or distant metastasis. A mass of lipomatous texture (12 × 5 cm) was found to be arising from inguinal segment of spermatic cord. Histopathological examination of the resected specimen confirmed diagnosis by revealing a well differentiated liposarcoma (myxoid variant) of the spermatic cord (Figure 3). Since a complete surgical resection of the tumor with wide margins of 2 cm was achieved so no adjuvant radiotherapy was advised. After 18 months of followup so far the patient does not show evidence of tumour-progression or recurrence and is doing well
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