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Giant recurrent retroperitoneal liposarcoma presenting as a recurrent inguinal hernia
Ajay H Bhandarwar1, Girish D Bakhshi1, Ashok D Borisa1
1Division of GI, HPB and Minimal Access Surgery, Department of Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Clinics and Practice
|April 26, 2014
Summary
Giant recurrent retroperitoneal liposarcoma can mimic an inguinal hernia. Surgical excision and radiotherapy led to a disease-free two-year follow-up in this rare case.
Area of Science:
- Oncology
- Surgical Oncology
- Radiology
Background:
- Retroperitoneal liposarcoma is a rare malignancy.
- Inguinal hernias are common, but a liposarcoma presenting as one is exceptionally rare.
Observation:
- A 40-year-old male presented with a recurrent, irreducible right inguinal lump.
- Imaging revealed a retroperitoneal mass extending into the inguinal canal, involving spermatic cord structures.
Findings:
- The patient underwent wide local excision, right orchidectomy, and inguinal hernioplasty.
- Histopathology confirmed the diagnosis of liposarcoma.
- Postoperative radiotherapy was administered.
Implications:
- Retroperitoneal liposarcomas can infiltrate the inguinal canal, mimicking irreducible indirect inguinal hernias.
- This case highlights the importance of considering rare differentials in recurrent inguinal presentations.
- Multimodal treatment including surgery and radiotherapy can achieve favorable outcomes.
