Kodzo-Grey Venyo A, Deoleker M
Callaghan Brendon Costello, Madhuri Deolekker, North Manchester General Hospital,Departments of Urology and Pathology Delaunays Road, Crumpsall, Manchester, M8 5RB, United Kingdom.
West Afr J Med. 2011 Nov-Dec;30(6):447-52.
Paratesticular liposarcomas are uncommon and in view of this most practitioners would be unfamiliar with the diagnosis and management.
To report a case of paratesticular liposarcoma, a rare tumour and to review the literature on paratesticular liposarcoma.
A 77-years old man with paratesticular liposarcoma originating from the left spermatic cord is reported. This patient noticed the lump eight years prior to its excision. The tumour was originally thought to be benign lipoma and was left alone and its management was based upon the principle of watchful waiting. The tumour was excised as an additional procedure when the patient underwent trans urethral resection of prostate following lower urinary tract symptoms and retention of urine and at this stage the 'lipomatous' lump was noticed to have grown bigger over recent months. The patient underwent a successful surgical excision (a radical excision of the testis and surrounding mass) and has remained under surveillance by the Regional Oncologists. Literature review revealed that 109 cases of para-testicular liposarcoma had previously been reported and radical excision with a wide resection margin is the recommended surgical approach to its management.
Radical surgical excision with wide resection margins is the most appropriate approach to the management of para-testicular liposarcoma and the patients should be referred to the Oncologist.
睾丸旁脂肪肉瘤并不常见，因此大多数从业者对其诊断和治疗并不熟悉。
报告一例睾丸旁脂肪肉瘤病例，这是一种罕见肿瘤，并回顾关于睾丸旁脂肪肉瘤的文献。
报告一名77岁男性，患有起源于左侧精索的睾丸旁脂肪肉瘤。该患者在肿瘤切除前八年就注意到了肿块。最初认为该肿瘤是良性脂肪瘤，未予处理，其治疗基于密切观察等待原则。当患者因下尿路症状和尿潴留接受经尿道前列腺切除术时，作为附加手术切除了该肿瘤，此时发现这个“脂肪瘤样”肿块在最近几个月变大了。患者接受了成功的手术切除（睾丸及周围肿块的根治性切除），并一直由地区肿瘤学家进行监测。文献回顾显示，此前已报告109例睾丸旁脂肪肉瘤病例，推荐的手术治疗方法是进行具有广泛切缘的根治性切除。
具有广泛切缘的根治性手术切除是治疗睾丸旁脂肪肉瘤最合适的方法，患者应转诊给肿瘤学家。
