Yoshida Takahiro, Saito Jun, Ichimaru Naotsugu, Miyagawa Yasushi, Nishimura Kazuo, Okuyama Akihiko, Tomita Hirohiko, Aozasa Katsuyuki
Department of Urology, Osaka University Graduate School of Medicine.
Hinyokika Kiyo. 2006 Jul;52(7):581-4.
A 46-year-old man had undergone radical high orchiectomy because of a tumor of the right spermatic cord. Pathological diagnosis was atypical lipomatous tumor. Six years later, he had asymptomatic swelling in his right groin. Local recurrence was suspected, and surgical resection of the tumor with a sufficient surgical margin was performed. Pathological diagnosis was well-differentiated liposarcoma, sclerosing type. Ten cases of recurrent spermatic cord liposarcoma, including the present case, have been reported in Japan. Because of the possibility of local recurrence, spermatic cord liposarcoma needs strict and long-term follow up.
一名46岁男性因右侧精索肿瘤接受了根治性高位睾丸切除术。病理诊断为非典型脂肪瘤样肿瘤。六年后，他右侧腹股沟出现无症状肿胀。怀疑为局部复发，遂对肿瘤进行了具有足够手术切缘的手术切除。病理诊断为高分化脂肪肉瘤，硬化型。在日本，包括本病例在内，已报道了10例复发性精索脂肪肉瘤。由于存在局部复发的可能性，精索脂肪肉瘤需要严格且长期的随访。
