Abstract
BackgroundSpindle cell lipomas are uncommon variants of typical lipomas, and presentation within the spermatic cord is exceedingly rare. Only three other cases have been reported in medical literature.Case PresentationWe present the fourth case of spindle cell lipoma of the spermatic cord, which in this particular case had imaging findings suggestive of a malignant liposarcoma prompting radical orchiectomy. Histological investigation later concluded that this represented a benign, spindle cell lipoma of the spermatic cord as evidence by positive CD34 staining and microscopic analysis.ConclusionAlthough this particular variant of lipoma is rare, it is the hope that these findings contribute to the continued study of this disease process and can potentially prompt further evaluation prior to radical orchiectomy to limit patient morbidity.
Highlights
Spindle cell lipomas are uncommon variants of typical lipomas, and presentation within the spermatic cord is exceedingly rare
Spindle cell lipoma (SCL) is a soft tissue neoplasm first described in 1975 that is typically found on the back, shoulders, and neck of adult males around 40–70 years of age [1]
Spindle cell lipoma is a distinct histological variant of lipoma, characterized by the replacement of mature fat by collagen forming spindle cells [2]. It is generally described clinically as a solid, benign neoplasm that often presents as a solitary, subcutaneous, well circumcised lesion that can appear at various locations in the body
Summary
Spindle cell lipomas are uncommon variants of typical lipomas, and presentation within the spermatic cord is exceedingly rare. Three other cases have been reported in medical literature. Case Presentation: We present the fourth case of spindle cell lipoma of the spermatic cord, which in this particular case had imaging findings suggestive of a malignant liposarcoma prompting radical orchiectomy. Histological investigation later concluded that this represented a benign, spindle cell lipoma of the spermatic cord as evidence by positive CD34 staining and microscopic analysis. Conclusion: this particular variant of lipoma is rare, it is the hope that these findings contribute to the continued study of this disease process and can potentially prompt further evaluation prior to radical orchiectomy to limit patient morbidity
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
