Godoy E, Amaya J, Parra J L, Valverde J, Khalil A, Rodríguez Torres A, Limon M
Servicio de Urología, Hospital de Mérida.
Actas Urol Esp. 1993 Jun;17(6):392-6.
Liposarcoma of the spermatic cord is a rare tumour typically presenting in elderly people. It tends to grow around blood vessels. Most of them have a low level of malignancy and relapses tend to be localized. Metastasis, when present, occur through the haematological route, lymph spread being very unusual. Pre-operative diagnosis is infrequent and overall prognosis is good. The choice treatment is radical orchidectomy, while long-term follow-up of these patients is mandatory. When local relapses become evident, the choice treatment is extensive local excision, followed by optional adjuvant radiotherapy. Chemotherapy has not proven to be effective. This paper reviews the current literature and contributes one case of mixed liposarcoma of the spermatic cord.
精索脂肪肉瘤是一种罕见肿瘤，多见于老年人。它倾向于围绕血管生长。大多数肿瘤恶性程度较低，复发往往局限于局部。若发生转移，则通过血液途径转移，淋巴转移极为罕见。术前诊断并不常见，总体预后良好。首选治疗方法是根治性睾丸切除术，同时必须对这些患者进行长期随访。当局部复发明显时，首选治疗方法是广泛局部切除，随后可选择辅助放疗。化疗尚未证明有效。本文回顾了当前文献，并报道了一例精索混合性脂肪肉瘤病例。
