Malignant fibrous histiocytoma: a case report and literature review.

Malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma in late adult life. It occurs most frequently in the extremities (70%), followed by the retroperitoneum (16%). The occurrence of MFH in the spermatic cord is extremely rare (approximately 50 cases in the literature). We are reporting one case of MFH of the spermatic cord that presented as a hard painful inguinal mass. The patient was treated by a right radical orchiectomy followed by postoperative radiotherapy. The patient remained alive, with no local recurrence after 30 months of follow-up.