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Paratesticular Liposarcoma of the Spermatic Cord: A Case Report and a Review of the Literature
Abstract
BACKGROUND: Paratesticular liposarcomas are uncommon and in view of this most practitioners would be unfamiliar with the diagnosis and management.
OBJECTIVE: To report a case of paratesticular liposarcoma, a rare tumour and to review the literature on paratesticular liposarcoma.
METHODS AND RESULTS: A 77-years old man with paratesticular liposarcoma originating from the left spermatic cord is reported. This patient noticed the lump eight years prior to its excision. The tumour was originally thought to be benign lipoma and was left alone and its management was based upon the principle of watchful waiting. The tumour was excised as an additional procedure when the patient underwent trans urethral resection of prostate following lower urinary tract symptoms and retention of urine and at this stage the ‘lipomatous’ lump was noticed to have grown bigger over recent months. The patient underwent a successful surgical excision (a radical excision of the testis and surrounding mass) and has remained under surveillance by the Regional Oncologists. Literature review revealed that 109 cases of para-testicular liposarcoma had previously been reported and radical excision with a wide resection margin is the recommended surgical approach to its management.
CONCLUSION: Radical surgical excision with wide resection margins is the most appropriate approach to the management of para-testicular liposarcoma and the patients should be referred to the Oncologist.
Keywords: Paratesticular liposarcomas, Spermatic Cord, Trojani grading, well differentiated, sclerosing
WAJM 2011; 30(6): 447–452
OBJECTIVE: To report a case of paratesticular liposarcoma, a rare tumour and to review the literature on paratesticular liposarcoma.
METHODS AND RESULTS: A 77-years old man with paratesticular liposarcoma originating from the left spermatic cord is reported. This patient noticed the lump eight years prior to its excision. The tumour was originally thought to be benign lipoma and was left alone and its management was based upon the principle of watchful waiting. The tumour was excised as an additional procedure when the patient underwent trans urethral resection of prostate following lower urinary tract symptoms and retention of urine and at this stage the ‘lipomatous’ lump was noticed to have grown bigger over recent months. The patient underwent a successful surgical excision (a radical excision of the testis and surrounding mass) and has remained under surveillance by the Regional Oncologists. Literature review revealed that 109 cases of para-testicular liposarcoma had previously been reported and radical excision with a wide resection margin is the recommended surgical approach to its management.
CONCLUSION: Radical surgical excision with wide resection margins is the most appropriate approach to the management of para-testicular liposarcoma and the patients should be referred to the Oncologist.
Keywords: Paratesticular liposarcomas, Spermatic Cord, Trojani grading, well differentiated, sclerosing
WAJM 2011; 30(6): 447–452
