Spermatic Cord Liposarcoma

  • Raquel Catarino Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • André Cardoso Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Carlos Ferreira Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Diogo Pereira Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Tiago Correia Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Manuel Cerqueira Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Frederico Carmo Reis Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
  • Paulo Costa Serviço de Radioterapia, Instituto CUF-Porto, Porto, Portugal
  • Rocha Almeida Serviço de Radiologia, Hospital CUF-Porto, Porto, Portugal
  • Rui Prisco Serviço de Urologia, Hospital Pedro Hispano, Matosinhos, Portugal
Keywords: Genital Neoplasms, Male, Liposarcoma, Orchiectomy, Spermatic Cord

Abstract

 

Introduction: Spermatic cord liposarcomas are rare diseases, with only a few reported studies published. In this study we present 2 clinical cases of spermatic cord liposarcoma.

Case Report: Case 1: A 76-years-old man was evaluated for a painless left inguinal mass. Imaging studies demonstrated a solid mass, of 38 x 31 cm, located in the left inguinal region. Case 2: A 55-years-old men, evaluated for a painless left scrotal mass, with imaging studies demonstrating a solid lesion of 28 x 27 mm near the left testicle. Both patients underwent left radical orchiectomy, with wide local excision. Histological examination revealed liposarcoma in both situations and the patients performed adjuvant radiotherapy. The patients remain free of disease during follow-up, of eight years in case 1 and four years in the case 2.

Conclusion: The recommended treatment of spermatic cord liposarcomas is radical orchiectomy with wide local excision. Adjuvant radiotherapy can reduce de incidence of local recurrence. Considering the recurrence probability, a long follow- up period is recommended for these patients.

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Published
2018-07-25