title: An Important Mimic of Inguinal Hernia.
abstract: Spermatic cord malignancy is a rare and challenging diagnosis, often misdiagnosed as an inguinal hernia or cord lipoma. In these images, we show a 61-year-old male for whom laparoscopic repair of clinically diagnosed hernia was attempted. Laparoscopy revealed closed internal ring without hernia. Imaging showed large paratesticular mass; radical inguinal excision of testicle, cord, and mass was performed. Pathology showed mixed low-grade and high-grade sarcoma. Liposarcoma should be considered in cases of unusual inguinal mass; appropriate imaging can guide surgical approach and optimize outcomes.
authors: Department of Radiology, University of Illinois at Chicago, Chicago, IL; Department of Surgery, University of Colorado Denver, Aurora, CO.
authors: Ali Kord
authors: AK
authors: Valeshabad
authors: Department of Urology, University of Wisconsin, Madison, WI.
authors: Anne
authors: A
authors: Walsh
authors: Department of Surgery, Division of Urology, Denver Veterans Affairs Hospital, University of Colorado School of Medicine, Denver, CO. Electronic address: granville.lloyd@ucdenver.edu.
authors: Granville L
authors: GL
authors: Lloyd
mesh_terms: D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000000981:diagnostic imaging* / Q000473:pathology; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging*; D006801:Humans; D008080:Liposarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed