Alyousef Haider, Osman Elsawi M, Gomha Mohamed A
Urology Department, King Fahad Specialist Hospital, Dammam 15215, Saudi Arabia.
Case Rep Urol. 2013;2013:806289. doi: 10.1155/2013/806289. Epub 2013 Feb 28.
Introduction. Liposarcoma is a rare pathological entity. By far it is the most common histological subtype of genitourinary sarcomas in adults. Approximately two hundred cases were reported in the literature. We are hereby presenting a case with a typical clinical scenario of paratesticular liposarcoma. Case report. A 75-year-old gentleman presented with a painless right hemiscrotal swelling that was progressively increasing in size over the last 6 years. Testicular tumour markers were negative. Imaging showed a heterogenous mass with fat component. Subsequently he underwent wide local excision that included the paratesticular mass along with the right testicle and all right inguinal canal contents up to the deep inguinal ring with the sparing of right illioinguinal nerve. Histopathological examination showed a well differentiated liposarcoma of the spermatic cord. He remained recurrence-free so far after 18 months of followup. Conclusion. Radical orchidectomy with wide local excision comprises the cornerstone of treatment of paratesticular liposarcoma. Due to the rarity of the disease there is no definite universal consensus of opinion as regards the role of radiotherapy and chemotherapy.
引言。脂肪肉瘤是一种罕见的病理实体。到目前为止，它是成人泌尿生殖系统肉瘤中最常见的组织学亚型。文献报道了约200例病例。我们在此呈现一例具有典型临床症状的睾丸旁脂肪肉瘤病例。病例报告。一名75岁男性患者，右侧阴囊无痛性肿胀，在过去6年中逐渐增大。睾丸肿瘤标志物为阴性。影像学检查显示一个含有脂肪成分的不均匀肿块。随后，他接受了广泛的局部切除，包括睾丸旁肿块、右侧睾丸以及右侧腹股沟管直至腹股沟深环的所有内容物，同时保留了右侧髂腹股沟神经。组织病理学检查显示精索的高分化脂肪肉瘤。随访18个月后，他至今无复发。结论。根治性睾丸切除术联合广泛局部切除是睾丸旁脂肪肉瘤治疗的基石。由于该疾病罕见，关于放疗和化疗的作用尚无明确的普遍共识。
