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Case Report Open Access


Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case

Sushma Shankar, Bhaskaran Ashokan, Muni Reddy, Hemalatha Anantharamaiah.

Abstract
Spermatic cord liposarcomas (LPS) are rare representing 7% of paratesticular sarcomas. The most present as slow growing inguinal or scrotal masses that need to be differentiated from inguinal hernias, testicular tumors, hydrocele, and benign lipomas. A 57-year-old male presented with right scrotal swelling since 1 year that grew rapidly in last 4 months. On examination, a firm, nontender mass was felt in the right scrotum measuring 12 cm × 8 cm. A clinical diagnosis of right testicular tumor was made. Ultrasound scrotum large, heteroechoeic mass separate from right testis. Magnetic resonance imaging scrotum well-defined, homogenously enhancing extra testicular mass with fat component? Paratesticular lipoma/liposarcoma. Right radical orchiectomy, high ligation of spermatic cord, and excision of mass en bloc were performed. Gross findings: Multiple, globular, gray yellow, firm masses seen in the paratesticular area and spermatic cord, the largest measuring 11 cm × 7 cm × 5 cm. Testis, epididymis-normal. Cut surface–solid, yellowish white with myxoid areas. Microscopy-mature adipocytes of varying sizes separated by dense fibrillary fibrocollagenous stroma with pleomorphic, bizarre stromal cells, and multinucleate giant cells. Interspersed areas showed extensive mast cell infiltration and myxoid change. Diagnosis, well-differentiated liposarcoma/atypical lipomatous tumor sclerosing type of paratesticular area (spermatic cord). Paratesticular LPS of spermatic cord are rare tumors often misdiagnosed clinically resulting in incomplete excision and high recurrences. This report highlights the need of considering liposarcoma as a differential diagnosis in inguinoscrotal masses and stresses the role of histopathological examination in making a definitive diagnosis, which cannot be established clinically/radiologically.

Key words: Paratesticular liposarcoma, spermatic cord, aggressive, recurrence


 
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REFERENCES
1. Fletcher CD, Unni KK, Mertens F, editors. World Health Organisation Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press; 2002. p. 31-7.
2. Sogani PC, Grabstald H, Whitmore WF Jr. Spermatic cord sarcoma in adults. J Urol 1978;120:301-5.
3. Grossi U, Crucitti A, Pierconti F. Giant spermatic cord liposarcoma. Int Surg 2014;99:407-9. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
4. Kodzo-Grey Venyo A, Deoleker M. Paratesticular liposarcoma of the spermatic cord: A case report and a review of the literature. West Afr J Med 2011;30:447-52.
5. Hinman F, Gibson TE. Tumors of the epididymis, spermatic cord and testicular tunics: A review of the literature and report of 3 new cases. Arch Surg 1924;8:100-37. [DOI via Crossref]   
6. Montgomery E, Fisher C. Paratesticular liposarcoma: A clinicopathological study. Am J Surg Pathol 2003;27:40-7. [DOI via Crossref]    [Pubmed]   
7. Fazl QP, Rayees AD, Nisar AC, Arif H, Rayees AM. Liposarcoma of the Spermatic cord: A rare entity. Case Rep Urol 2011;2011:Article ID: 572973, 3. [DOI via Crossref]    [DOI via Crossref]   
8. Chintamani, Tandon M, Khandelwal R, Jain S, Narayan N, Kumar Y, et al. Liposarcoma of the spermatic cord: A diagnostic dilemma. JRSM Short Rep 2010;1:49. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Cardenosa G, Papanicolaou N, Fung CY, Tung GA, Yoder IC, Althausen AF, et al. Spermatic cord sarcomas: Sonographic and CT features. Urol Radiol 1990;12:163-7. [DOI via Crossref]    [Pubmed]   
10. Fletcher CD, editors. Diagnostic Histopathology of Tumors. 6th ed. London: Churchill Livingstone; 2007. p. 1473-500.
11. Eble JN, Sauter G, Epstein JI, Sesterhenn IA, editors. World Health Organisation Classification of Tumors. Pathology and Genetics of Tumors of the Urinary System and Male Genital Organs. Lyon: IARC Press; 2004. p. 273-6.
12. JSJ Books, Disorders of Soft Tissue. In: Mills SE, Cater D,Greenson JK, Oberman HA, Reuter V, Stoler MH, editors. Sternberg's Diagnostic Surgical Pathology. 5th ed. Philadelphia, PA: Lippincott, Williams and Wilkinis; 2010. p. 124-97.
13. Kalaivani V, Vijayakumar H, Sridhar H, Arathi RR. Paratesticular liposarcoma – Masquerading as a testicular tumour. J Clin Diagn Res 2014;8:165-6. [DOI via Crossref]    [DOI via Crossref]   
14. Catton CN, Cummings BJ, Fornasier V, O'Sullivan B, Quirt I, Warr D. Adult paratesticular sarcomas: A review of 21 cases. J Urol 1991;146:342-5.
15. Li F, Tian R, Yin C, Dai X, Wang H, Xu N, et al. Liposarcoma of the spermatic cord mimicking a left inguinal hernia: A case report and literature review. World J Surg Oncol 2013;11:18. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
16. Alyousef H, Osman EM, Gomha MA. Paratesticular liposarcoma: A case report and review of the literature. Case Rep Urol 2013;2013:806289. [DOI via Crossref]   

How to Cite this Article
Pubmed Style

Shankar S, Ashokan B, Reddy M, Anantharamaiah H. Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. J Interdiscipl Histopathol. 2015; 3(4): 138-141. doi:10.5455/jihp.20151029070700


Web Style

Shankar S, Ashokan B, Reddy M, Anantharamaiah H. Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. http://www.ejmjih.com/?mno=202323 [Access: February 21, 2018]. doi:10.5455/jihp.20151029070700


AMA (American Medical Association) Style

Shankar S, Ashokan B, Reddy M, Anantharamaiah H. Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. J Interdiscipl Histopathol. 2015; 3(4): 138-141. doi:10.5455/jihp.20151029070700



Vancouver/ICMJE Style

Shankar S, Ashokan B, Reddy M, Anantharamaiah H. Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. J Interdiscipl Histopathol. (2015), [cited February 21, 2018]; 3(4): 138-141. doi:10.5455/jihp.20151029070700



Harvard Style

Shankar, S., Ashokan, B., Reddy, M. & Anantharamaiah, H. (2015) Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. J Interdiscipl Histopathol, 3 (4), 138-141. doi:10.5455/jihp.20151029070700



Turabian Style

Shankar, Sushma, Bhaskaran Ashokan, Muni Reddy, and Hemalatha Anantharamaiah. 2015. Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. Journal of Interdisciplinary Histopathology, 3 (4), 138-141. doi:10.5455/jihp.20151029070700



Chicago Style

Shankar, Sushma, Bhaskaran Ashokan, Muni Reddy, and Hemalatha Anantharamaiah. "Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case." Journal of Interdisciplinary Histopathology 3 (2015), 138-141. doi:10.5455/jihp.20151029070700



MLA (The Modern Language Association) Style

Shankar, Sushma, Bhaskaran Ashokan, Muni Reddy, and Hemalatha Anantharamaiah. "Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case." Journal of Interdisciplinary Histopathology 3.4 (2015), 138-141. Print. doi:10.5455/jihp.20151029070700



APA (American Psychological Association) Style

Shankar, S., Ashokan, B., Reddy, M. & Anantharamaiah, H. (2015) Paratesticular Liposarcoma of the Spermatic Cord: A Rare Case. Journal of Interdisciplinary Histopathology, 3 (4), 138-141. doi:10.5455/jihp.20151029070700





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