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Paratesticular liposarcoma-masquerading as a testicular tumour.
[well-differentiated liposarcoma]
Paratesticular
liposarcomas
are
rare
tumours
which
account
for
12
%
of
all
liposarcomas
.
Probably
there
are
about
186
cases
which
have
been
reported
till
date
.
They
must
be
differentiated
from
tumours
of
testicular
origin
which
have
extension
to
the
spermatic
cord
.
We
are
reporting
a
case
of
a
50
-
year
-old
male
who
had
presented
with
a
painless
swelling
in
the
right
hemiscrotum
,
which
was
of
20
years
'
duration
.
Inititally
,
a
clinical
diagnosis
of
testicular
tumour
was
made
;
however
,
CT
of
the
scrotum
revealed
paratesticular
tumour
?
liposarcoma
and
testis
being
normal
and
displaced
postero-inferiorly
.
Metastatic
work-up
,
which
included
CT
of
the
abdomen
and
pelvis
,
thorax
and
whole
body
scan
,
did
not
reveal
any
distant
metastasis
.
Patient
underwent
high
orchidectomy
,
hemiscrotectomy
.
Histopathological
studies
confirmed
the
diagnosis
of
well-differentiated
liposarcoma
(
atypical
lipomatous
tumour
of
sclerosing
type
)
.
Diseases
Validation
Diseases presenting
"right hemiscrotum"
symptom
well-differentiated liposarcoma
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