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Paratesticular liposarcoma: a case report and review of the literature.
[well-differentiated liposarcoma]
Introduction
.
Liposarcoma
is
a
rare
pathological
entity
.
By
far
it
is
the
most
common
histological
subtype
of
genitourinary
sarcomas
in
adults
.
Approximately
two
hundred
cases
were
reported
in
the
literature
.
We
are
hereby
presenting
a
case
with
a
typical
clinical
scenario
of
paratesticular
liposarcoma
.
Case
report
.
A
75
-
year
-old
gentleman
presented
with
a
painless
right
hemiscrotal
swelling
that
was
progressively
increasing
in
size
over
the
last
6
years
.
Testicular
tumour
markers
were
negative
.
Imaging
showed
a
heterogenous
mass
with
fat
component
.
Subsequently
he
underwent
wide
local
excision
that
included
the
paratesticular
mass
along
with
the
right
testicle
and
all
right
inguinal
canal
contents
up
to
the
deep
inguinal
ring
with
the
sparing
of
right
illioinguinal
nerve
.
Histopathological
examination
showed
a
well
differentiated
liposarcoma
of
the
spermatic
cord
.
He
remained
recurrence-free
so
far
after
18
months
of
followup
.
Conclusion
.
Radical
orchidectomy
with
wide
local
excision
comprises
the
cornerstone
of
treatment
of
paratesticular
liposarcoma
.
Due
to
the
rarity
of
the
disease
there
is
no
definite
universal
consensus
of
opinion
as
regards
the
role
of
radiotherapy
and
chemotherapy
.
