Retroperitoneal liposarcoma presenting as spermatic cord tumor

Area of Science:

• Surgical Oncology
• Radiology
• Urologic Oncology

Background:

• Liposarcoma can arise in the retroperitoneum and spermatic cord.
• Contiguous tumors may present challenges in diagnosis and surgical planning.

Observation:

• A case of well-differentiated liposarcoma presented as a scrotal mass.
• The tumor extended from the spermatic cord through the inguinal canal to the retroperitoneum.

Findings:

• Radical orchiectomy was performed for the scrotal mass, removing the spermatic cord tumor.
• The retroperitoneal portion was incidentally discovered one month postoperatively via CT scan.

Implications:

• This case highlights the importance of thorough preoperative assessment for spermatic cord masses.
• Preoperative imaging of the retroperitoneal space is crucial before surgical extirpation of supratesticular masses.