Paratesticular Liposarcoma Masquerading as an Inguinal Hernia
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Updated: Feb 17, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Kerry L Thomas1, Ricardo J Gonzalez2, Evita Henderson-Jackson3
1Department of Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, Tampa, FL.
Abstract:
A man with left scrotal swelling felt to represent inguinal hernia underwent computed tomography scan for reported bleeding after prostate biopsy. Computed tomography scan revealed a 15-cm extratesticular left scrotal mass containing both fat and soft tissue components, raising concern for dedifferentiated liposarcoma. At surgery and pathology, the mass was separate from the left testis, epididymis, and spermatic cord. Histopathologic findings were consistent with paratesticular dedifferentiated liposarcoma.