A case report of uncommon paratesticular liposarcoma of spermatic cord presenting as a scrotal mass

Layla Zeitouni; Shahinur Rahman; Kimberley Chan; Khin Thway; Ajay Arora; Mohamed Y Hammadeh

doi:10.1016/j.eucr.2020.101416

A case report of uncommon paratesticular liposarcoma of spermatic cord presenting as a scrotal mass

Urol Case Rep. 2020 Sep 16:33:101416. doi: 10.1016/j.eucr.2020.101416. eCollection 2020 Nov.

Authors

Layla Zeitouni¹, Shahinur Rahman², Kimberley Chan², Khin Thway³, Ajay Arora⁴, Mohamed Y Hammadeh²

Affiliations

¹ University of Glasgow, School of Medicine, Dentistry & Nursing, UK.
² Urology Department, Lewisham and Greenwich NHS Trust, London, UK.
³ Sarcoma Unit, The Royal Marsden Hospital, London, UK.
⁴ Radiology Department, Princess Royal University Hospital, King's College Foundation NHS Trust, London, UK.

Abstract

Paratesticular liposarcomas are uncommon malignancies, often misdiagnosed preoperatively, that present as a painless scrotal mass. There is no universal consensus on their management due to scarcity of reported cases. Early detection and prompt surgical intervention provide the best disease outcome. We present the case of a 74-year-old man with a painless left testicular mass. Ultrasound and CT scan showed a paratesticular tumour. He underwent left high inguinal orchidectomy. Histopathological, immunohistochemical and cytogenetics studies confirmed the diagnosis of a Grade 2 well differentiated paratesticular liposarcoma with clear surgical margins. The case was referred to our regional sarcoma centre and currently undergoes regular follow-up.

Keywords: Liposarcoma; Paratesticular tumour; Scrotum; Testicular mass.

Publication types

Case Reports