title: Rare Case of a Well-Differentiated Paratesticular Sarcoma of the Spermatic Cord in a 60-Year-Old Patient.
abstract: Introduction. Liposarcomas are tumors that occur mostly in the retroperitoneum. Of all liposarcomas only 3 to 7% are found in the paratesticular region. The spermatic cord is the main site of origin in these cases. The patients ages range from 50 to 60 years. This malignant disease can result in a loss of fertility aside from life-threatening sequelae.Case. We present a case of a liposarcoma of the paratesticular region. A 60-year-old man was referred with a painless mass in the scrotum and the right inguinal region. The patient underwent surgery and the mass was removed along with the right testis, the spermatic cord, and the soft tissues to the internal inguinal ring. Histopathological examination found a well-differentiated liposarcoma of 80⁎80 mm. The surgical margins were negative. The adjuvant treatment consisted in radiation therapy of the right inguinoscrotal area to the dose of 54 Gray, 2 Gy per session, 5 times a week.Conclusion. Paratesticular liposarcomas are rare tumors. Surgery with large margin resections was the main treatment in all reported cases. The adjuvant treatment is still unclear especially when the surgical margins are negative. The main factor that indicated this adjuvant treatment was the size of the tumor and the histologic subtype.
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Marwen
authors.identifier: 0000-0002-7085-9959
authors.initials: M
authors.lastname: Benna
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Semia
authors.initials: S
authors.lastname: Zarraâ
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Asma
authors.initials: A
authors.lastname: Belaïd
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Aziz
authors.initials: A
authors.lastname: Cherif
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Lotfi
authors.initials: L
authors.lastname: Kochbati
authors.affiliation: Department of Urology, Charles Nicole Hospital, Tunis, Tunisia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Chebil
authors.affiliation: Department of Radiation Therapy, Salah Azaiez Institute, Tunis, Tunisia.
authors.forename: Farouk
authors.initials: F
authors.lastname: Benna