Radović Nikola, Bizatzki Arianna, Turner Rajka
Coll Antropol. 2017 Mar;41(1):89-93.
Liposarcoma of the spermatic cord is a very rare neoplasm with fewer than 200 cases recorded in world literature. This report describes a case of liposarcoma of the spermatic cord which developed after radical prostatectomy and salvage radiotherapy for prostate cancer treatment. Four years following surgical treatment of the primary neoplasm and one year following radiotherapy, the 67 –year –old patient was referred to the urology clinic for the emergence of a mass in the right hemiscrotum region. Ultrasonography revealed a homogenous isodense mass measuring 4.5 cm in diameter, while positron emission tomography (PET) with 2-deoxy-2(18F) fluoro-D-glucose (FDG) indicated the presence of viable tumors cells. Radical orchiectomy was performed to remove the neoplasm which appeared to be dedifferentiated liposarcoma of the spermatic cord. Lymph nodes were not affected, but the surgical margins were found positive and the patient was referred to further oncologic treatment.
精索脂肪肉瘤是一种非常罕见的肿瘤，世界文献中记录的病例不到200例。本报告描述了一例在前列腺癌根治性前列腺切除术和挽救性放疗后发生的精索脂肪肉瘤病例。在原发性肿瘤手术治疗四年后和放疗一年后，这位67岁的患者因右侧阴囊区域出现肿块被转诊至泌尿外科诊所。超声检查显示一个直径4.5厘米的均匀等密度肿块，而用2-脱氧-2（18F）氟-D-葡萄糖（FDG）进行的正电子发射断层扫描（PET）显示存在存活的肿瘤细胞。进行了根治性睾丸切除术以切除该肿瘤，其似乎是精索去分化脂肪肉瘤。淋巴结未受影响，但手术切缘呈阳性，患者被转诊接受进一步的肿瘤治疗。
