Current management of liposarcoma of the spermatic cord: A case report and review of the literature

Chalouhy,Charbel; Ruck,Jessica M.; Moukarzel,Maroun; Jourdi,Roy; Dagher,Nabil; Philosophe,Benjamin

doi:10.3892/mco.2017.1157

Current management of liposarcoma of the spermatic cord: A case report and review of the literature

Authors:
- Charbel Chalouhy
- Jessica M. Ruck
- Maroun Moukarzel
- Roy Jourdi
- Nabil Dagher
- Benjamin Philosophe
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Affiliations: Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA, Department of Urology, Hôtel Dieu de France Hospital, Beirut, Lebanon
Published online on: February 6, 2017 https://doi.org/10.3892/mco.2017.1157
Pages: 438-440

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Abstract

Liposarcomas of the spermatic cord, a rare cause of an inguinal mass, may closely mimic inguinal hernias on clinical examination. However, these tumors require a different surgical approach and treatment plan; therefore, intraoperative diagnosis might complicate patient management. We report the case of a 63‑year‑old man who presented with a mobile mass in the inguinal canal consistent with an inguinal hernia. The patient was subsequently diagnosed with a liposarcoma of the spermatic cord and successfully treated with extensive local resection, including radical orchiectomy and en bloc resection of the mass and associated cord structures. No adjuvant therapy was deemed necessary, and the patient remained asymptomatic and disease‑free 10 years after surgery. The details of this case are presented, along with a review and discussion of the currently available data regarding the diagnosis and management of this challenging condition.

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