Original scientific paper

https://doi.org/10.20471/acc.2021.60.01.07

Liposarcoma of the Spermatic Cord – Diagnostic and Therapeutic Issue

Dimitrije Jeremić ; Clinical Center of Vojvodina, Novi Sad, Serbia; 2University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Miloš Maletin ; Clinical Center of Vojvodina, Novi Sad, Serbia
Saša Vojinov ; Clinical Center of Vojvodina, Novi Sad, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Ivan Levakov ; Clinical Center of Vojvodina, Novi Sad, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Dragan Grbić ; Clinical Center of Vojvodina, Novi Sad, Serbia
Tanja Lakić ; Clinical Center of Vojvodina, Novi Sad, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Sandra Trivunić Dajko ; Clinical Center of Vojvodina, Novi Sad, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

Abstract

Liposarcoma of the spermatic cord is a malignant tumor so rare that there are less
than 200 cases reported in the literature worldwide. Liposarcoma is a malignancy which originates
from fat tissue. Although only 3%-7% of all paratesticular sarcomas primarily arise from structures of
the spermatic cord, clinical significance of these tumors must not be neglected because they are often
preoperatively misdiagnosed. A 66-year-old male presented with a painless swelling on the left side of
the scrotum. Local examination revealed a solid, smooth, limited mass of approximately 4x3 cm in the
left side of the scrotum. Tumor markers were within the reference range. Ultrasound examination
showed a solid, clearly limited non-homogeneous mass of 40x20 mm localized in the left spermatic
cord. Magnetic resonance imaging showed an expansive mass measuring 60x85x60 mm in the left
inguinoscrotal region without propagation into the abdominal cavity. Both testicles and epididymides
appeared normal on magnetic resonance examination and no locoregional enlarged lymph nodes were
seen. The patient was treated operatively with radical inguinal orchiectomy. In conclusion, liposarcomas
of the spermatic cord are extremely rare neoplasms that clinically present as slow-growing, painless,
palpable inguinal or scrotal masses. Radical orchiectomy with high ligation of the spermatic cord
and wide excision of the surrounding soft tissues within the inguinal canal remains the gold standard
treatment option. Recurrence of the disease is frequent even several years after primary therapy, therefore
long-term follow-up is mandatory.

Keywords

Liposarcoma; Spermatic cord; Magnetic resonance imaging; Radical orchiectomy; Recurrence

Hrčak ID:

259825

URI

https://hrcak.srce.hr/259825

Publication date:

1.3.2021.

Article data in other languages: croatian

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