[Spermatic cord sarcomas: current status and report of four cases].
OBJECTIVE
To study and review spermatic cord sarcomas, including symptoms, diagnosis, and treatment.


RESULTS
We review the Spanish and international literature and report 4 new cases: 2 patients with well-differentiated spermatic cord liposarcomas (1 treated by simple tumorectomy), 1 patient with liposarcomatous degeneration of a previously excised atypical lipoma, and 1 patient operated for a malignant retroperitoneal fibrous histiocytoma with subsequent local recurrence in the paratesticular region.


CONCLUSIONS
Spermatic cord sarcomas are rare entities that usually appear as painless paratesticular mass. They are diagnosed by imaging studies (ultrasound, computed tomography, magnetic resonance) and confirmed by histological examination. Spermatic cord sarcomas are treated surgically; the efficacy of adjuvant treatments such as chemotherapy or radiation therapy is still under debate.
Carrión López
Pedro
P
Servicio de Urología, Complejo Hospitalario Universitario de Albacete, Albacete, España. pedrocarrion1980@hotmail.com
Pastor Navarro
Héctor
H
Martínez Ruiz
Jesús
J
Giménez Bachs
José Miguel
JM
Donate Moreno
María José
MJ
Polo Ruiz
Lorenzo
L
Pastor Guzmán
José María
JM
Martínez Sanchiz
Carlos
C
Ruiz Mondéjar
Rafael
R
Virseda Rodríguez
Julio Antonio
JA
D000293:Adolescent; D000328:Adult; D000368:Aged; D005834:Genital Neoplasms, Male / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012509:Sarcoma; D013085:Spermatic Cord