Ikinger U, Westrich M, Pietz B, Mechtersheimer G, Schmidt C
Department of Urology, Krankenhaus Salem, Heidelberg University Teaching Hospital, Germany.
Urology. 1997 Apr;49(4):635-7. doi: 10.1016/s0090-4295(96)00545-6.
To date, only 14 cases of myxoid liposarcoma of the spermatic cord have been reported in the literature. The growth is a rare, usually highly differentiated malignancy that tends to recur locally, rarely metastasizes, and has a good prognosis following complete removal. We describe a new case of a highly differentiated myxoid liposarcoma of the spermatic cord, combined with an angiolipoma. Left inguinal orchiectomy with high ligation of the cord was performed. Staging revealed no evidence of regional or distal metastases. By the latest visit, at 30 months, the tumor had not recurred. The diagnosis, management, and prognosis of this oncologic entity are discussed in the light of the literature.
迄今为止，文献中仅报道了14例精索黏液样脂肪肉瘤。这种肿瘤较为罕见，通常为高分化恶性肿瘤，倾向于局部复发，很少发生转移，完整切除后预后良好。我们描述了1例新的精索高分化黏液样脂肪肉瘤病例，同时合并血管脂肪瘤。实施了左侧腹股沟睾丸切除术及精索高位结扎术。分期检查未发现区域或远处转移的证据。至最近一次随访，即30个月时，肿瘤未复发。结合文献对该肿瘤实体的诊断、治疗及预后进行了讨论。
