Liposarcoma Of Spermatic Cord Research Articles

A case of a dedifferentiated liposarcoma of spermatic cord with massive tumor-infiltrating lymphocytes

A case of a dedifferentiated liposarcoma of spermatic cord with massive tumor-infiltrating lymphocytes

P144 SPERMATIC CORD LIPOSARCOMA - A VERY RARE FINDING DURING INGUINAL HERNIA SURGERY

Abstract Aim Repair of inguinal hernia is one of the most common operations in general surgery in industrialized countries. Isolated spermatic cord liposarcoma is a very rare soft tissue tumor. Despite standardized diagnostic algorithms for inguinal hernia, it could be difficult to predict such a rare finding. Material and Methods We report a case of inadvertent inguinal liposarcoma excision during hernia surgery in a 72-year-old male patient. Except for polyposis coli there were no further illnesses. Results After a minimal invasive transabdominal preperitoneal (TAPP) repair of a symptomatic inguinal hernia last year a persistent scrotal swelling developed. Computed tomography (CT) showed a protrusion of fatty tissue into the scrotal sac. Diagnosis of scrotal hernia was made. We performed an open Lichtenstein procedure. The final pathologic examination revealed a highly differentiated liposarcoma. Staging was completed and the case was presented to a multidisciplinary sarcoma tumor board at our institution. As recommended, a inguinal reoperation was performed with wide excision. Conclusions Although a very rare condition, spermatic cord liposarcoma should be considered as a possible differential diagnosis for inguinal hernia surgery.

A Case of the Spermatic Cord Liposarcoma which Appeared after Resection of a Spermatic Cord Lipoma

A Case of the Spermatic Cord Liposarcoma which Appeared after Resection of a Spermatic Cord Lipoma

Spermatic Cord Liposarcoma

An older male patient presented with a 10-cm paratesticular mass. The tumor was resected, and the photograph shows the cut surface of a spermatic cord liposarcoma. Which statement is correct regarding paratesticular tumors?a.Liposarcoma is the most common spermatic cord tumor overallb.Liposarcoma is the most common spermatic cord sarcoma in adultsc.Rhabdomyosarcoma is the most common spermatic cord sarcoma in adultsd.Among paratesticular tumors, lipoma is very rare The answer is b. Liposarcoma is the most common spermatic cord sarcoma in adults Liposarcoma is the most common paratesticular sarcoma in adults, whereas rhabdomyosarcomas tend to occur in children.1Rodriguez D. Olumi A.F. Management of spermatic cord tumors: a rare urologic malignancy.Ther Adv Urol. 2012; 4: 325-334Crossref PubMed Scopus (56) Google Scholar, 2Rodriguez D. Barrisford G.W. Sanchez A. Preston M.A. Kreydin E.I. Olumi A.F. Primary spermatic cord tumors: disease characteristics, prognostic factors, and treatment outcomes.Urol Oncol. 2014; 32: 52.e19-52.e25Abstract Full Text Full Text PDF Scopus (55) Google Scholar The most common location for paratesticular tumors is the spermatic cord.1Rodriguez D. Olumi A.F. Management of spermatic cord tumors: a rare urologic malignancy.Ther Adv Urol. 2012; 4: 325-334Crossref PubMed Scopus (56) Google Scholar The majority of spermatic cord tumors are lipomas, whereas liposarcomas are the most common malignant spermatic cord tumor.1Rodriguez D. Olumi A.F. Management of spermatic cord tumors: a rare urologic malignancy.Ther Adv Urol. 2012; 4: 325-334Crossref PubMed Scopus (56) Google Scholar Although spermatic cord liposarcomas usually occur in older adults, they can occur over a broad age range.

Myxoid Liposarcoma of Spermatic Cord Misdiagnosed for Hemangioma

Myxoid Liposarcoma of Spermatic Cord Misdiagnosed for Hemangioma

Lipossarcoma do Cordão Espermático

Introdução: O lipossarcoma do cordão espermático é uma doença rara, com poucos casos descritos. Apresentamos dois casos clínicos de doentes com lipossarcoma do cordão espermático.
 Caso Clínico: Caso 1: Doente de 76 anos, avaliado por uma massa inguinal esquerda indolor. O estudo imagiológico evidenciou uma massa sólida, com cerca de 38 x 31 cm na região inguinal esquerda. Caso 2: Doente de 55 anos, avaliado por uma massa escrotal esquerda indolor. Imagiologicamente apresentava lesão sólida com 28 x 27 cm, sugestiva de neoformação na dependência do epidídimo esquerdo. Ambos os doentes foram submetidos a orquidectomia radical com excisão local alargada. O exame histopatológico revelou lipossarcoma nas duas situações, tendo sido efetuado tratamento complementar com radioterapia adjuvante. No seguimento efetuado, oito anos no caso 1 e quatro anos no caso 2, não ocorreu recidiva neoformativa locorregional ou à distância.
 Conclusão: O tratamento recomendado do lipossarcoma do cordão espermático é a orquidectomia radical com excisão local alargada. A radioterapia adjuvante reduz o número de recorrências locorregionais e torna-se necessário um período longo de seguimento destes doentes, dada a elevada probabilidade de recorrência.

Liposarcoma of Spermatic Cord – A Case Report and Literature Review

Liposarcoma of Spermatic Cord – A Case Report and Literature Review

Spermatic cord liposarcoma, atypical finding in a 46-year old male patient

Spermatic cord liposarcoma, atypical finding in a 46-year old male patient

Sclerosingliposarcoma of the Spermatic Cord – Case Report and Literature Review

Liposarcoma are a group of malignant tumours which are derived from mesodermal tissue. The spermatic cord is a rare site for liposarcoma; around 200 cases of Liposarcoma of the spermatic cord have been reported in the English literature to date. They typically present as a non-tender, slow growing masses of variable size in the scrotum or inguinal region. They are frequently misdiagnosed as other common pathologies, such as an inguinal hernia. We present a case of liposarcoma of the spermatic cord, which histopathology confirmed to be of sclerosing subtype.

The Oblique Rectus Abdominis Musculocutaneous Flap for Reconstruction after Resection of a Spermatic Cord Liposarcoma.

The Oblique Rectus Abdominis Musculocutaneous Flap for Reconstruction after Resection of a Spermatic Cord Liposarcoma.

Liposarcoma of the spermatic cord: A case report.

Spermatic cord liposarcoma is very rare and characterized by a painless inguinal or scrotal mass. This is a case report of a 66-year-old man presenting with a mass in his left scrotum. Inguinal orchiectomy was performed and the histopathological examination revealed a liposarcoma of the spermatic cord.

Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case

Spermatic cord liposarcomas (LPS) are rare representing 7% of paratesticular sarcomas. The most present as slow growing inguinal or scrotal masses that need to be differentiated from inguinal hernias, testicular tumors, hydrocele, and benign lipomas. A 57-year-old male presented with right scrotal swelling since 1 year that grew rapidly in last 4 months. On examination, a firm, nontender mass was felt in the right scrotum measuring 12 cm × 8 cm. A clinical diagnosis of right testicular tumor was made. Ultrasound scrotum large, heteroechoeic mass separate from right testis. Magnetic resonance imaging scrotum well-defined, homogenously enhancing extra testicular mass with fat component? Paratesticular lipoma/liposarcoma. Right radical orchiectomy, high ligation of spermatic cord, and excision of mass en bloc were performed. Gross findings: Multiple, globular, gray yellow, firm masses seen in the paratesticular area and spermatic cord, the largest measuring 11 cm × 7 cm × 5 cm. Testis, epididymis-normal. Cut surface–solid, yellowish white with myxoid areas. Microscopy-mature adipocytes of varying sizes separated by dense fibrillary fibrocollagenous stroma with pleomorphic, bizarre stromal cells, and multinucleate giant cells. Interspersed areas showed extensive mast cell infiltration and myxoid change. Diagnosis, well-differentiated liposarcoma/atypical lipomatous tumor sclerosing type of paratesticular area (spermatic cord). Paratesticular LPS of spermatic cord are rare tumors often misdiagnosed clinically resulting in incomplete excision and high recurrences. This report highlights the need of considering liposarcoma as a differential diagnosis in inguinoscrotal masses and stresses the role of histopathological examination in making a definitive diagnosis, which cannot be established clinically/radiologically.

Spermatik Kord Sarkomu Olan Hastaya Testis Koruyucu Cerrahi: Nadir Bir Olgu

Spermatik Kord Sarkomu Olan Hastaya Testis Koruyucu Cerrahi: Nadir Bir Olgu

Liposarcoma of the Testis and Spermatic Cord

Primary liposarcoma of the spermatic cord is rare, and preoperative diagnosis is difficult. We report a rare case of well-differentiated liposarcoma in 65-year-old man. The patient’s chief complaint was painless enlargement of a mass in the right inguinal area that had persisted for about two months. The main component of the mass was wrapped around the spermatic cord and several components were around the testis. Ultrasonography of the main component showed mixed echogenicity. CT showed an ovoid fat-containing nodule and several other fat-density masses surrounding the testis. The mass was surgically removed, along with the right testis and spermatic cord. A pathological examination showed a well-differentiated liposarcoma of the right spermatic cord and testis.

Liposarcoma of the paratesticular tissue and spermatic cord: A case report

Liposarcomas are malignant tumors derived from fat tissues. Liposarcoma of the paratesticular tissue is rare. We presented a 51-year-old man with liposarcoma of paratesticular tissue and the spermatic cord, mimicking a testicular tumor. Ultrasound examination of this scrotal mass was hyperechogenic and homogeneous and separated from the testis and epididymis. The patient was operated, and the orchidectomy was performed. Histology revealed well-differentiated lipoma-like liposarcoma of the paratesticular tissue and spermatic cord. After a 6 month follow-up the patient did not show any evidence of tumor-progression or recurrence. Liposarcomas of the paratesticular tissue and seminal cord represent a rare type of tumors, often misdiagnosed preoperatively. Therapy should include radical surgical excision, usually radical inguinal orchiectomy. If the margin status is in doubt, adjuvant radiation should be performed. Local relapse is common and may occur after several years, so follow-up period has to be sufficiently long.

Spermatic Cord Liposarcoma Associated with Prostate Cancer

We report on a case of liposarcoma of the spermatic cord treated with radical orchidectomy and wide excision of the tumour wit- hout adjuvant treatment. After 16 years of follow up, neither local nor distant recurrences were detected. Spermatic cord liposarco- ma is a rare disease. The basic treatment for all patients with spermatic cord liposarcoma is radical orchidectomy with wide local re- section and high ligature of the spermatic cord. The role of postoperative irradiation depends on pathologic findings. Local recurren- ces are rare but because of late events, a long follow-up is mandatory.

Paratesticular Liposarcoma: A Radiologic Pathologic Correlation

Spermatic cord liposarcoma is an uncommon paratesticular tumor. Patients usually present with a painless scrotal or inguinal mass, mimicking inguinal hernia. Clinical examination suggested an inguinal hernia. Computed tomography demonstrated a fat-containing mass in the right inguinal region. The mass was surgically removed, along with the right testis and spermatic cord. Histopathological examination revealed a well-differentiated liposarcoma. No evidence of recurrence or metastases has been noted during the two-year follow-up with postoperative adjuvant therapy.

Spermatic cord myxoid liposarcoma presenting as an incarcerated inguinal hernia: report of a case and review of literatures

Incarcerated inguinal hernia is a common surgical indication in the emergency room. Delayed diagnosis can result in ischemic bowel or bowel perforation. The reported incarcerated contents include bowel loop, mesentery, omentum and, rarely, malignant lesions, such as lymphoma, metastatic tumors etc. We report a new case of primary spermatic cord liposarcoma presenting as emergent incarcerated inguinal hernia and review the related literature.

Liposarcoma of the Spermatic Cord: A Rare Entity

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.

Spermatic cord liposarcoma and prostate adenocarcinoma: a synchronous association

Spermatic cord liposarcoma is rare, with fewer than a 100 reported cases in the world literature. We report on its presence in an elderly man who presented with a painless scrotal mass. The serum prostate specific antigen (PSA) level was also found to be elevated. Transrectal ultrasound biopsy of the prostate confirmed the presence of adenocarcinoma. This is the first report of prostatic adenocarcinoma in association with spermatic cord liposarcoma in the English literature. The treatment options for spermatic cord liposarcoma are discussed further.