Giant Well-Differentiated Liposarcoma of the Spermatic Cord Associated With Inguinal Hernia: Clinical Insights From a Case Report.
Kristian Chrz, David Hoskovec, Zdeněk Krška et al.
✦ AI-curated · Sources linked
Case in brief
An 87-year-old man presented with a progressively enlarging, painless mass in the left inguinoscrotal region, which impaired mobility. Imaging revealed a large, well-circumscribed mass from the spermatic cord, alongside an inguinal hernia and hydrocele. The patient underwent complete surgical excision, and histopathology confirmed a well-differentiated liposarcoma with negative margins. The postoperative recovery was uneventful.
Diagnostic / clinical pearl
Spermatic cord liposarcoma can mimic benign conditions like hernia or hydrocele, making preoperative diagnosis challenging. Imaging and histopathological evaluation are crucial for accurate diagnosis.
Why it matters
Awareness of this rare malignancy is essential for improving diagnostic accuracy and management strategies, particularly given the potential for local recurrence.