title: Liposarcoma of the Spermatic Cord: An Infrequent Pathology.
abstract: OBJECTIVE
  To describe a rare pathology, the liposarcoma of the spermatic cord (LSC), and discuss its diagnosis and treatment.
  
  
  METHODS
  We report a case of well-differentiated LSC in a 61-year-old man. The main complaint was painless enlargement in the right inguinoscrotal area that appeared 6 months prior to presentation. Ultrasonography showed a heterogeneous and hyperechogenic mass of the right spermatic cord that was highly suspicious of malignancy. Computed tomography confirmed a heterogeneous supratesticular mass. The mass was surgically removed.
  
  
  RESULTS
  Pathological examination showed a well-differentiated LSC. The patient did not receive any additional treatment. The follow-up did not present complications or further symptoms and, at present, the patient is in complete remission.
  
  
  CONCLUSIONS
  LCSs are a very rare entity. The diagnosis is difficult and often mistaken with common scrotal swelling associated with a hernia, hydrocele, or other tumour. Treatment should include complete surgical excision, usually by radical inguinal orchiectomy. A long follow-up period is necessary.
authors.affiliation: Urology Department, CHU UCL, Namur, Belgium.
authors.forename: Marcelo Di
authors.initials: MD
authors.lastname: Gregorio
authors.affiliation: Oncology Department, CHU UCL, Namur, Belgium.
authors.forename: Lionel
authors.initials: L
authors.lastname: D'Hondt
authors.affiliation: Urology Department, CHU UCL, Namur, Belgium.
authors.forename: Francis
authors.initials: F
authors.lastname: Lorge
authors.affiliation: Pathology Department, CHU UCL, Namur, Belgium.
authors.forename: Marie-Cécile
authors.initials: MC
authors.lastname: Nollevaux
keywords: Liposarcoma; Orchiectomy; Spermatic cord; Testicular neoplasms