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Inflammatory malignant fibrous histiocytoma of the spermatic cord
M Nistal1, J Regadera, E Jareño
1Department of Pathology, La Paz Hospital, Madrid, Spain.
Abstract:
A 74-year-old man with a right inguinal hernia since 15 years was admitted because of inguinal pain and enlarged ipsilateral testis. Surgical exploration revealed a hernia with an empty hernial sac and three tumoral masses in the spermatic cord. Tumoral masses, spermatic cord, and testis were removed. Histological examination of the tumoral masses revealed a malignant inflammatory fibrous histiocytoma. The tumor infiltrated the vas deferens, pampiniform plexus, and adjacent adipose tissue. Epididymis and testis were not infiltrated. Three years after treatment with radiotherapy no recurrence or metastases have been observed.
Insights
A rare malignant inflammatory fibrous histiocytoma was found in the spermatic cord of a patient with a long-standing inguinal hernia. Surgical removal and radiotherapy led to no recurrence after three years.
Area of Science:
- Oncology
- Surgical Pathology
- Urology
Background:
- Inguinal hernias are common, but associated spermatic cord tumors are rare.
- Malignant inflammatory fibrous histiocytoma (IFH) is an uncommon soft tissue neoplasm with a propensity for local recurrence.