title: [Liposarcoma of the spermatic cord].
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 62 year old male who presented with a half a year history of a soft painless mass in the left scrotum extending from the groin up to the testis. Clinical examination suggested inguinal hernia. 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.
authors.affiliation: Département de Chirurgie, Hôpital Universitaire Krâlovské Vinohrady et 3eme Faculté de Médecine, Université Charles, Prague, République Tchèque, France. kosrod@seznam.cz
authors.forename: Rodomil
authors.initials: R
authors.lastname: Kostka
authors.forename: Tomas
authors.initials: T
authors.lastname: Baitler
authors.forename: Roman
authors.initials: R
authors.lastname: Zachoval
authors.forename: Bohuslav
authors.initials: B
authors.lastname: Sosna
authors.forename: Paul
authors.initials: P
authors.lastname: Palascak
mesh_terms: D005834:Genital Neoplasms, Male / Q000473:pathology / Q000601:surgery; D006801:Humans; D008080:Liposarcoma / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013085:Spermatic Cord