title: Spermatic cord dedifferentiated liposarcoma presenting as a recurrent inguinal hernia.
abstract: Paratesticular sarcomas are a rare entity and provide a unique clinical challenge due to their slow growing, often painless natural course. Adding to this challenge is the complex anatomy of the scrotum that allows these masses to mimic other conditions, including inguinal hernia, cysts, or fluid collections. We report such a case and our approach to an 83-year-old male with dedifferentiated liposarcoma of the spermatic cord with a history of inguinal hernia. In doing so, we highlight the need for thorough evaluation of scrotal masses and the management of these rare, though well-described, tumors.
authors.affiliation: Division of Urology, West Virginia University, Morgantown, West Virginia, USA.
authors.forename: Chad
authors.initials: C
authors.lastname: Crigger
authors.forename: John
authors.initials: J
authors.lastname: Barnard
authors.forename: Stanley
authors.initials: S
authors.lastname: Zaslau
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Vos
mesh_terms: D000369:Aged, 80 and over; D001706:Biopsy / Q000379:methods; D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D007150:Immunohistochemistry; D008080:Liposarcoma / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology; D008297:Male; D009919:Orchiectomy / Q000379:methods*; D012008:Recurrence; D013085:Spermatic Cord / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome; D047368:Tumor Burden; D014463:Ultrasonography / Q000379:methods