Introduction: The spermatic cord sarcomas are rare entities, with only 46 cases reported in the last 5 years worldwide. The majority of those were misdiagnosed as inguinal hernias and treated with hernioplasty, delaying the correct treatment. Case report: We present a 56-year-old male who was operated 3 times for right inguinal hernia recurrence. Because of a persistent right spermatic cord bulk, he had a right radical orchiectomy, and the pathology reported the diagnosis of liposarcoma. Afterward, we requested a PET/CT which revealed a hypermetabolic lesion of 33x32mm in the right scrotum. We performed an oncological resection and classified the tumor as a stage III liposarcoma. Conclusion: The reported case illustrates the classical presentation of these tumors and their evolution. Despite the radical treatment, due to the biology of this cancer, the prognosis is bad if patients are not operated properly from the beginning.

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