Spermatic cord liposarcoma mimicking recurrent incarcerated inguinal hernia: A case report

Spermatic cord liposarcoma is a rare malignant neoplasm often misdiagnosed as benign conditions. This similarity may lead to inadequate surgical approaches. A 55-year-old man with a prior history of inguinal hernioplasty presented with an incarcerated scrotal mass. The initial hypothesis of recurrent hernia was ruled out after negative surgical exploration. Imaging suggested a lipomatous lesion, and a resection with left orchiectomy was performed. Histopathological examination confirmed liposarcoma. Spermatic cord liposarcoma is a differential diagnosis of inguinoscrotal masses. Radical resection with negative margins is the gold standard treatment. Long-term surveillance is mandatory due to the risk of recurrence.