[Liposarcoma of the spermatic cord: a report of a new case and a review of the literature].
Malignant paratesticular tumors are uncommon. Of these, liposarcoma of the spermatic cord constitutes a rare tumor. Only a hundred cases have been reported. They are typically presented in elderly people. The usually have a good prognosis because of their low level of malignancy and their relapses tend to be localized. It has a high rate of survival over 5 years. Preoperative diagnosis is infrequent, it is suggested by the appearance of a progressively enlarging mass in the scrotum and the ultrasonography which shows a solid mass of the spermatic cord that is independent of the testicle. The choice treatment is radical orchidectomy, while long-term follow-up of these patients is mandatory because of local relapses. When local relapses become evident, the choice treatment is extensive local excision followed by adjuvant radiotherapy. In the present study we report a new case of a recurring, well differentiated spermatic cord liposarcoma of the type sclerotic, in a 50-year-old man. An exhaustive review of the literature has been made.
Soler Soler
J L
JL
Servicio de Urología, Hospital Clínico Universitario San Cecilio, Granada.
Zuluaga Gómez
A
A
Hidalgo Domínguez
M R
MR
Bados Nieto
M P
MP
Martínez Torres
J L
JL
de la Fuente Serrano
A
A
Nogueras Ocaña
M
M
D005834:Genital Neoplasms, Male / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery; D009919:Orchiectomy; D018714:Radiotherapy, Adjuvant; D013085:Spermatic Cord / Q000473:pathology / Q000601:surgery; D013997:Time Factors
Liposarcoma de cordón espermático: aportación de un nuevo caso y revisión de la literatura.