表现为腹股沟疝的精索脂肪肉瘤。
Liposarcoma of the spermatic cord presenting as an inguinal hernia.
作者信息
Wetzel Eric, Adjamian Norair, Diaz Graal, Steen Shawn, Hobbs Janet
机构信息
College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA, USA.
Graduate Medical Education, Community Memorial Health System, Ventura, CA, USA.
出版信息
Int J Surg Case Rep. 2020;76:274-277. doi: 10.1016/j.ijscr.2020.09.195. Epub 2020 Oct 2.
INTRODUCTION
Dedifferentiated liposarcoma is a rare, highly malignant, rapidly recurring tumor. When found in the spermatic cord, this tumor may deceptively present as an inguinal hernia, and due to its rarity, may not be readily identified.
PRESENTATION OF CASE
We report a case of a 46-year old man with dedifferentiated liposarcoma presenting as a slow-growing right inguinal bulge. His surgical management included ipsilateral orchiectomy and excision with wide margins. He received adjuvant focused radiation therapy.
CONCLUSION
Liposarcoma of the Spermatic Cord is a rare and highly malignant tumor that rapidly recurs. Therefore, a high degree of suspicion, regular surveillance and imaging are justified.
引言
去分化脂肪肉瘤是一种罕见的、高度恶性且复发迅速的肿瘤。当在精索中发现时，这种肿瘤可能会被误诊为腹股沟疝，并且由于其罕见性，可能不容易被识别。
病例介绍
我们报告一例46岁男性去分化脂肪肉瘤，表现为右侧腹股沟缓慢生长的肿块。他的手术治疗包括同侧睾丸切除术和广泛切缘切除。他接受了辅助聚焦放射治疗。
结论
精索脂肪肉瘤是一种罕见且高度恶性的肿瘤，复发迅速。因此，高度怀疑、定期监测和影像学检查是合理的。
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