Liposarcoma of the Spermatic Cord –A Rare Pathological Entity

Abstract

Liposarcoma of the spermatic cord is a very rare neoplasm with fewer than 200 cases recorded in world literature. This report describes a case of liposarcoma of the spermatic cord which developed after radical prostatectomy and salvage radiotherapy for prostate cancer treatment. Four years following surgical treatment of the primary neoplasm and one year following radiotherapy, the 67 –year –old patient was referred to the urology clinic for the emergence of a mass in the right hemiscrotum region. Ultrasonography revealed a homogenous isodense mass measuring 4.5 cm in diameter, while positron emission tomography (PET) with 2-deoxy-2(¹⁸F) fluoro-D-glucose (FDG) indicated the presence of viable tumors cells. Radical orchiectomy was performed to remove the neoplasm which appeared to be dedifferentiated liposarcoma of the spermatic cord. Lymph nodes were not affected, but the surgical margins were found positive and the patient was referred to further oncologic treatment.