Liposarcoma of the spermatic cord

Liposarcoma del cordón espermático

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Eduardo Reyna Villasmil

Abstract

Introduction: liposarcoma of the spermatic cord (LSC) is a rare condition and accounts for about 3 to 7% of all paratesticular sarcomas. A case is presented in an 80-year-old patient who consulted for a left inguinoscrotal painless swelling, that had been present for several years. Physical examination revealed a soft left hemiscrotal tumor that appeared not to be adherent to the testicle. Ultrasonography showed a solid, heterogeneous hyperschoic paratesticular mass with central calcifications and peripheral hypervascularity. During surgery, a diffuse lipomatous tumor was found in the spermatic cord on the superior pole of the left testicle, separated from it. Anatomopathological examination revealed a well-differentiated liposarcoma of the spermatic cord. Discussion: this neoplasm features a slow-growing palpable paratesticular mass. This site of occurrence is rare and represents 7 to 10% of all scrotal tumors. Imaging differentiation between LSC and benign lesions is sometimes challenging. Surgical treatment should include radical orchiectomy wide local excision, and spermatic cord and inguinal ring surrounding soft tissue resection. Conclusion: spermatic cord liposarcoma is a rare and unusual mesenchymal tumor and should be considered among the differential diagnoses of scrotal tumors.


 

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Iafrate M, Motterle G, Zaborra C, Leone N, Prayer-Galetti T, Zattoni F, Guttilla A, Cappellesso R, Dei Tos AP, Rossi CR, Del Fiore P, Rastrelli M, Mocellin S. Spermatic cord sarcoma: a 20-year single-institution experience. Front Surg. 2020;7:566408. doi: 10.3389/fsurg.2020.566408.

Chowdhry VK, Kane JM 3rd, Wang K, Joyce D, Grand'Maison A, Mann GN. Testicular, spermatic cord, and scrotal soft tissue sarcomas: treatment outcomes and patterns of failure. Sarcoma. 2021;2021:8824301. doi: 10.1155/2021/8824301.

Ebey BN, Naouar S, Faidi B, Lahouar R, Ben Khalifa B, El Kamel R. Pleomorphic spermatic cord liposarcoma: A case report and review of management. Int J Surg Case Rep. 2021;81:105725. doi: 10.1016/j.ijscr.2021.105725.

Mouden K, Wakrim S, Semmar A. Paratesticular liposarcoma: a case report. Pan Afr Med J. 2019;33:282. doi: 10.11604/pamj.2019.33.282.19545.

Shaban Y, Elkbuli A, Kim D, Abdulla A, Boneva D, McKenney M, Wolf J. Dedifferentiated liposarcoma of the spermatic cord: Case report and review of literature. Int J Surg Case Rep. 2020;72:418-422. doi: 10.1016/j.ijscr.2020.06.051.

Alfarelos J, Gomes G, Campos F, Matias M, Canelas A, Gonçalves M. Paratesticular leiomyosarcoma: A case report and review of the literature. Urol Case Rep. 2017;11:30-32. doi: 10.1016/j.eucr.2016.11.006.

Tajima S, Koda K. Paratesticular dedifferentiated liposarcoma with prominent myxoid stroma: report of a case and review of the literature. Med Mol Morphol. 2017;50(2):112-116. doi: 10.1007/s00795-015-0108-1.

Lechner M, Borhanian K, Mitterwallner S, Bittner R, Klieser E, Köhler G, Emmanuel K, Mayer F. Retroperitoneal liposarcoma: A concern in inguinal hernia repair. JSLS. 2019;23(1):e2018.00064. doi: 10.4293/JSLS.2018.00064.

Moschini M, Mattei A. Diagnosis and management of spermatic cord tumors. Curr Opin Urol. 2017;27(1):76-79. doi: 10.1097/MOU.0000000000000318.

Valverde Martínez S, Salcedo Mercado W, Grinard de León E, Polo López C, Gallego Matey A, Gómez Tejeda LM. Spermatic cord liposarcoma. Report of two cases and bibliographic review. Arch Esp Urol. 2018;71(6):549-554.

Houser M, Khati NJ. The rare, the odd, and the atypical: a pictorial essay of testicular and paratesticular diseases. Ultrasound Q. 2021;37(3):207-218. doi: 10.1097/RUQ.0000000000000570.

Mittal PK, Abdalla AS, Chatterjee A, Baumgarten DA, Harri PA, Patel J, Moreno CC, Gabriel H, Miller FH. Spectrum of extratesticular and testicular pathologic conditions at scrotal MR imaging. Radiographics. 2018;38(3):806-830. doi: 10.1148/rg.2018170150.

Zheng QG, Sun ZH, Chen JJ, Li JC, Huang XJ. Paratesticular liposarcoma: Two case reports. World J Clin Cases. 2021;9(2):457-462. doi: 10.12998/wjcc.v9.i2.457.

Noguchi T, Fukushima T, Hara H, Sekiguchi N, Kobayashi T, Ozawa T, Gomi D, Koizumi T. Giant paratesticular liposarcoma with lung metastases: a case report and review of the literature. J Med Case Rep. 2020;14(1):86. doi: 10.1186/s13256-020-02420-x.

Ayari Y, Sellami A, Boussaffa H, Zehani A, Ben Rhouma S, Nouira Y. About a case of paratesticular myxoid liposarcoma. Urol Case Rep. 2018;21:27-28. doi: 10.1016/j.eucr.2018.08.011.

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