Liposarcoma of Spermatic Cord- Encountered While Operating the Inguinoscrotal Hernia

Abstract

Liposarcomas in the spermatic cord are rare and difficult to diagnose preoperatively, since they present as inguinal or scrotal masses which are frequently evaluated only by ultrasonogram, and other imaging modalities. This case report is about a 48-year-old male, who presented with a painless swelling in the right inguinal region extending to the scrotum, since two years. Upon inguinal exploration, a single irregular fatty mass, arising from the cord, was found in addition to a small inguinal hernia. En-bloc resection of the mass with inguinal orchidectomy was done and histopathology proved it to be a well-differentiated liposarcoma. A rare malignancy with a deceptive presentation must be taken into account while evaluating scrotal masses, particularly in patients with suspected recurrent hernias of the inguinal region.

Keywords

• en-bloc resection
• hamilton bailey’s operation
• orchidectomy
• testicular neoplasms