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Spermatic cord liposarcoma: organ-sparing surgery
J P Peralta1, R Godinho, C Rabaça
1Department of Urology, Portuguese Institute of Oncology, Coimbra, Portugal. joaopedroperalta@gmail.com
BMJ Case Reports
|July 2, 2013
Summary
A rare case of spermatic cord liposarcoma in a 53-year-old male was successfully treated with organ-sparing surgery. This approach preserved the testicle and achieved negative margins, with no recurrence after 1.5 years.
Area of Science:
- Urology
- Surgical Oncology
- Pathology
Background:
- Liposarcoma of the spermatic cord is a rare tumor.
- Testicular masses require careful differential diagnosis and management.
Observation:
- A 53-year-old male presented with a 4-year history of a left-sided testicular mass.
- Surgical exploration via a left inguinal approach was performed.
- A lesion was excised with high clamping of the spermatic cord, preserving the testicle.
Findings:
- Peroperative and final pathology confirmed a well-differentiated liposarcoma of the spermatic cord.
- Surgical margins were negative, with no local invasion observed.
- The patient underwent organ-sparing surgery, preserving the ipsilateral testis.
Implications:
- Organ-sparing surgery is a viable option for spermatic cord liposarcoma.
- Successful management can lead to good long-term outcomes with no recurrence.
- This case highlights the importance of accurate pathological diagnosis and surgical technique.
