Abstract
A 74-tear-old man presented to our hospital with a 2-year history of a painless and slow-growing fixed mass in the left paratesticular region. There were no specific abnormalities in the laboratory data, and the tumor markers were within normal limits. Computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography (US) revealed findings suggestive of either inguinal hernia or lipoma. However, intraoperatively, the tumor was observed to roll up the isolateral spermatic cord and testicular vessels, which led to the differential diagnosis of liposarcoma. The tumor was then widely resected along with the left testis, spermatic cord, and testicular vessels. Histopathologic study confirmed the diagnosis of well-differentiated liposarcoma, but no malignant cells were found in any of the surgical margins. A periodical follow-up has been performed by US every 3 months, and no evidence of recurrence or metastasis has been seen in the 6 months since his operation, without any postoperative adjuvant therapy.
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References
Enterline HT (1981) Histopathology of sarcoma. Semin Oncol 8:133–155
Enterline HT, Culbersow JP, Rochlis PB, Brady CW (1960) Liposarcoma: A clinical and pathological study of 53 cases. Cancer 13:932–950
Spittle MF, Newton KA, Mackenzie DH (1971) Liposarcoma: A review of 60 cases. Br J Cancer 24:696–704
Mackenzie I, Roberts GH (1974) Liposarcoma of paratesticular origin: A case report. Br J Urol 46:467–470
Pack GT, Pierson JC (1954) Liposarcoma. A study of 105 cases. Surgery 36:687–712
O'Connor M, Snover DC (1983) Liposarcoma. A review of factors influencing prognosis. Am Surg 49:379–384
Trendwell T, Trendwell MA, Owen M, McConnell TH, Ashworth CT (1981) Giant liposarcoma of the spermatic cord. South Med J 74:753–755
Cardenosa G, Papanicolau N, Fung CY, Tung GA, Yoder IC, Althausen AF, Shipley WU (1990) Spermatic cord sarcomas: Sonographic and CT features. Urol Radiol 12:163–167
Fox LA, Forman HP, Heiken JP, Levitt RG, Andriole GL (1992) Clinical pathologic conference: Inguinal mass in a 66-year-old man. Urol Radiol 14:62–64
Hayasaka K, Saitoh Y, Sugie H, Arakawa K, Amoh K (1985) Computed tomography evaluation of liposarcoma (in Japanese with English abstract.) Nippon Houshasennka Gakkai Zasshi (Jpn J Radiol) 45:1517–1520
Reitan JB, Kaalhus O, Brennhovd IO, Sager M, Stenwig AE, Talle K (1985) Prognostic factors in liposarcoma. Cancer 55:2482–2490
Enzinger FM, Lattes R, Torloni H (1969) Histologic typing of soft tissue tumors. World Health Oganization, Geneva, Roto-Sadag, Geneva
Longbotham JH, Joyce CR (1987) Retroperitoneal liposarcoma presenting as spermatic cord tumor. Uropathology 30:176–280
McFadden DW (1989) Myxoid liposarcoma of the spermatic cord. J Surg Oncol 40:132–134
Weiss SW, Rao VK (1992) Well-differentiated liposarcoma (atypical lipoma) of deep soft tissue of the extremities, retroperitoneum, and miscellaneous sites. Am J Surg Pathol 16:1051–1058
Brooks JJ, Connor AM (1990) Atypical lipoma of the extremities and peripheral soft tissue with dedifferentiation: implications for management. Surg Pathol 3:169–178
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Kitamura, K., Kiyomatsu, K., Nonaka, M. et al. Liposarcoma developing in the paratesticular region: Report of a case. Surg Today 26, 842–845 (1996). https://doi.org/10.1007/BF00311652
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DOI: https://doi.org/10.1007/BF00311652