Introduction: Paratesticular tumors are uncommon. Treatment is surgical, with local excision recommended for benign masses and radical orchiectomy for malignant tumors.
Clinical case: A 65-year-old male presented with a progressive, painless enlargement of the left hemiscrotum over six months. Physical examination revealed a firm scrotal mass. Imaging studies showed a heterogeneous expansile lesion in the left hemiscrotum. A left radical orchiectomy with high ligation of the spermatic cord was performed, and pathological examination reported a well-differentiated paratesticular liposarcoma.
Conclusion: Paratesticular liposarcoma is a rare neoplasm that can mimic other scrotal masses. The definitive diagnosis is histopathological, and the treatment of choice is radical surgical resection. Its recognition is essential in the differential diagnosis of scrotal masses.
Schwartz SL, Swierzewski SJ, Sondak VK, Grossman HB. Liposarcoma of the spermatic cord: report of 6 cases and review of the literature. J Urol. 1995;153(1):154-7.
Cerda T, Martin E, Truc G, et al. Safety and efficacy of adjuvant radiotherapy in spermatic cord sarcoma. Cancer Radiother. 2015;19(4):286-91.
Sogani PC, Grabstald H, Whitmore WF. Spermatic cord sarcoma in adults. J Urol. 1978;120(3):301–5.
Coleman J, Brennan MF, Alektiar K, Russo P. Adult spermatic cord sarcomas: management and results. Ann Surg Oncol. 2003;10(6):669-75.
Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. WHO Classification of Tumours of Soft Tissue and Bone. 4th ed. Lyon: IARC Press; 2013.
Dalal KM, Antonescu CR, Singer S. Diagnosis and management of lipomatous tumors. J Surg Oncol. 2008;97(4):298-313.
Ballo MT, Zagars GK, Pisters PW, Feig BW, Patel SR, von Eschenbach AC. Spermatic cord sarcoma: outcome, patterns of failure and management. J Urol. 2001;166(4):1306-10.
Montgomery E, Fisher C. Paratesticular liposarcoma: a clinicopathologic study. Am J Surg Pathol. 2003;27(1):40-47.
Akbar SA, Sayyed TA, Jafri SZH, Hasteh F, Neill JSA. Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics. 2003;23(6):1461-76.
Khandekar MJ, Raut CP, Hornick JL, et al. Paratesticular liposarcoma: unusual patterns of recurrence and importance of margins. Ann Surg Oncol. 2013;20(6):1903-7.
Goldblum JR, Folpe AL, Weiss SW. Enzinger and Weiss's Soft Tissue Tumors, 7th ed., Elsevier; 2019.
Revista Científica
Publicación oficial de investigación científica en urología.
Revista creada por: 