Bilateral paratesticular liposarcoma - A rare case report

Abstract

Paratesticular liposarcomas are rare tumors and are often reported as isolated cases. Patients usually present with a painless scrotal or inguinal mass, mimicking inguinal hernia. They refer to liposarcomas arising from the spermatic cord, testicular tunics, and epididymis. We report a case of bilateral scrotal swelling which was misdiagnosed as inguinal hernia. Intraoperative diagnosis of testicular tumor was made. High inguinal orchiectomy was done. Histopathological examination revealed it to be liposarcoma of the cord. To our knowledge, there is no reported case of bilateral paratesticular liposarcoma in English literature, hence we report this case.

A Case of Bilateral Synchronous Paratesticular Leiomyoma

“…Nevi are the most common benign tumor in the scrotum, and squamous cell carcinomas are the most common malignancy, of which leiomyoma was reported in 10 of the 127 cases of primary scrotal neoplasm [9]. The report of a tumor occurring simultaneously in both testes is very rare, with one report of nonseminomatous germ cell tumors [10], another with liposarcoma [11], and another of metastatic renal clear cell carcinomas occurring in a patient with von Hippel–Lindau [12]. The most common benign tumors in the paratesticular regions contain adenomatoid tumors, leiomyomas, and lipomas, and adenomatoid tumors are the most frequent and leiomyomas are the second most common tumors [2].…”

Paratesticular liposarcoma: a case report

“…Retroperitoneal lymph node dissection should be limited to patients with only radiologically suspicious lymph nodes [13]. Indications for adjuvant radiotherapy include positive margins or less than 10 mm and when the tumor is not resectable, because local recurrence following surgery alone is very high [15-17]. Cerda et al .…”