Department of Clinical Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
Department of Radiation Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
J Pak Med Assoc. 2024 Aug;74(8):1538-1540. doi: 10.47391/JPMA.10611.
Spermatic cord malignancies are a scarce modality and liposarcoma of spermatic cord is even a rarer condition encountered. Liposarcoma is usually a slowly progressive, non-tender, well circumscribed mass of variable shapes owing to conformity to fascial compartments. We are reporting a case of 65-year-old male, with a two-month history of initially tender and later non-tender mass in the scrotum, above the testis. Ultrasonography showed a right mid inguinal mass measuring 6x3x3 cm at the superior pole of the right testis and small fluid around the right testis. Fine needle aspiration cytology (FNAC) of the right inguinal mass revealed a spindle cell neoplasm. The patient underwent right inguinal radical orchiectomy with local wide excision of the sarcoma of the spermatic cord origin. Final histopathology confirmed dedifferentiated liposarcoma. No adjuvant treatment was offered and the patient was put on surveillance. Follow-up of more than 10 months has not revealed any local recurrence, regional or non-regional lymph nodes, or systemic metastasis.
精索恶性肿瘤较为罕见，而精索脂肪肉瘤则更为罕见。脂肪肉瘤通常是一种缓慢进展、无痛、界限清楚的肿块，由于顺应筋膜间隙而呈现出不同的形状。我们报告了一例 65 岁男性患者，最初在阴囊内睾丸上方出现触痛性肿块，随后变为无痛性肿块，病程持续两个月。超声检查显示右侧腹股沟区有一个 6x3x3cm 的肿块，位于右侧睾丸的上极，右侧睾丸周围有少量积液。右侧腹股沟肿块的细针穿刺细胞学检查（FNAC）显示为梭形细胞肿瘤。患者接受了右侧腹股沟根治性睾丸切除术，并对精索来源的肉瘤进行了局部广泛切除。最终的组织病理学检查证实为去分化脂肪肉瘤。未提供辅助治疗，患者接受了监测。随访超过 10 个月，未发现局部复发、区域或非区域淋巴结或全身转移。
