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.
References
1. Zahm SH, Fraumeni JF. The epidemiology of soft tissue sarcoma. Semin Oncol. 1997;24(5):504–14.
2. John T, Portenier D, Auster B, Mehregan D, Drelichman A, Telmos A. Leiomyosar-coma of scrotum--case report and review of literature. Urology. 2006; 67(2):424.
3. Bajaj P, Agarwal K, Niveditha SR, Pathania OP. Leiomyosarcoma arising from tunica vaginalis testis: a case report. Indian J Pathol Microbiol. 2001; 44(2):145–6.
4. Gago Juan A, Luján Galán M, Bustamante Alarma S, Fernández Lobato R, Zárate Rodríguez E, Martín Osés E, Berenguer Sánchez A. A paratesticular myxoid liposarcoma as a simulator of a hernial process. A case report. Arch Esp Urol. 1997; 50(8):921–3.
5. Soler Soler JL, Zuluaga Gómez A, Hidalgo Domínguez MR, Bados Nieto MP, Martínez Torres JL, de la Fuente Serrano A, Nogueras Ocaña M. Liposar-coma of the spermatic cord: a report of a new case and a review of the litera-ture. Actas Urol Esp. 1999; 23(5):447–54.
6. Kostka R, Baitler T, Zachoval R, Sosna B, Palascak P. Liposarcoma of the spermatic cord. Prog Urol. 2006;16(2):215–7.
7. Yoshino T, Yoneda K, Shirane T. First Report of Liposarcoma of the Spermatic Cord after Radical Prostatectomy for Prostate Cancer. Anticancer Res. 2009; 29(2):677–80.
8. Novosel I, Spajić B, Kraus O, Kruslin B. Liposarcoma of the spermatic cord: case report and review of the literature. Lijec Vjesn. 2002; 124(5):137–9.
9. Guo J, Zhou S, Rao NP, Pez GH. Pleomorphic malignant fibrous histiocytoma/undifferentiated high-grade pleomorphic sarcoma of the scrotum in a patient presenting as fournier gangrene: a case report. Appl Immunohistochem Mol Morphol. 2010; 18(5):473–8.
10. Singla K, Preet Malhotra K, Rathore R, Arora D, Sharma S. Scrotal leiomyos-arcoma associated with bilateral epididymo-orchitis. Urology. 2011; 78(5):1069–70.
11. Kochman A, Jabłecki J, Rabczyński J. Recurrent primary well-differentiated intrascrotal liposarcoma: case report and review of the literature. Tumori. 1999;85 (2):135–6.
12. Crespo Atín V, Padilla Nieva J, Martín Bazaco J, Llarena Ibarguren R, Pertusa Peña C. Scrotal liposarcoma. Arch Esp Urol. 2001; 54(7):729–32.
13. Catton CN, Cummings BJ, Fornasier V, O'Sullivan B, Quirt I, Warr D. Adult paratesticular sarcomas: a review of 21 cases. J Urol. 1991; 146(2):342–5.
14. Yol S, Tavli S, Tavli L, Belviranli M, Yosunkaya A. Retroperitoneal and scrotal giant liposarcoma: report of a case. Surg Today. 1998; 28(3):339–42.
15. May M, Seehafer M, Helke C, Gunia S, Hoschke B. Liposarcoma of the spermatic cord--report of one new case and review of the literature. Aktuelle Urol. 2004; 35(2):130–3.
16. 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.
17. Fujita T, Akino H, Suzuki Y, Isomatsu Y, Okada K. Malignant mesenchymoma of the spermatic cord: a case report. Hinyokika Kiyo. 1994; 40(2):165–8.