title: Recurrent dedifferentiated paratesticular liposarcoma with synchronous renal cell carcinoma and prostate cancer.
abstract: Paratesticular liposarcoma is a very rare cause of scrotal mass. It is thought that they arise from spermatic cord lipomas most commonly. While well differentiated tumors tend to share many histological similarities with dedifferentiated tumors, the latter has a much more aggressive phenotype. We present an unusual case of a 69-year-old male with synchronous prostate adenocarcinoma and unilateral renal cell carcinoma who was found to have a dedifferentiated paratesticular liposarcoma. Treatment was with radical resection, preserving the testis, followed by radiotherapy. Unusually recurrence did not occur until 4 years following initial treatment. This case demonstrates the high propensity of dedifferentiated liposarcoma to recur locally and examines the most frequently employed management strategies.
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: D
authors.initials: D
authors.lastname: Coyle
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: R A
authors.initials: RA
authors.lastname: Flaherty
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: B D
authors.initials: BD
authors.lastname: Kelly
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: S O
authors.initials: SO
authors.lastname: Hynes
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: F
authors.initials: F
authors.lastname: Colesky
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: M R
authors.initials: MR
authors.lastname: Quinlan
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: M O
authors.initials: MO
authors.lastname: Corcoran
authors.affiliation: Department of Urology, University College Hospital Galway, Newcastle, Galway, Ireland.
authors.forename: E
authors.initials: E
authors.lastname: Rogers
keywords: Liposarcoma; Paratesticular; Sarcoma; Scrotal mass