Paratesticular Liposarcoma: A Diagnostic Challenge

Title: Paratesticular Liposarcoma: A Diagnostic Challenge

Author: Imran Mir, Sumera Zargar, Sadat Qadri, Novsheen Mir

DOI: https://dx.doi.org/10.18535/jmscr/v5i2.61

Abstract

Liposarcoma of the spermatic cord is rare. It usually presents as a painless slowly-growing scrotal mass of consistency like lipoma. Inguinal orchiectomy is an adequate surgical approach. Retroperitoneal lymphadenectomy is not indicated owing to the low malignancy potential of the sarcomas. Value of adjuvant radiotherapy/chemotherapy remains uncertain. Recurrences are frequent, owing to incomplete surgical removal of the tumor. We report on a 66 year old male who presented with one year history of a soft painless mass in the left scrotum. Radical orchiectomy was performed. Histological examination revealed a well-differentiated liposarcoma of sclerosing subtype. No evidence of recurrence or metastases has been noted during the 6-month and one year follow-up without any postoperative adjuvant therapy.

Keywords: liposarcoma, scrotum.

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