Myxoid liposarcoma of the spermatic cord: A case report and review of the literature

Abstract

Myxoid liposarcoma of the spermatic cord (MLSC) is a rare variance of spermatic sarcomas, with only 14 previous cases having been reported. Typically it presents during the seventh decade of life as a painless scrotal or inguinal mass. Although local recurrences are not uncommon, prognosis following complete tumour removal is good because metastases are rare. We describe one new case of a 24-year-old male with incidental MLSC found during inguinal hernia repair, and also review the existing literature.

Liposarcoma of the paratesticular tissue and spermatic cord: A case report

“…Liposarcomas usually present as slow-growing masses of the inguinal canal or the scrotum, mimicking testicular or epididymal tumors or inguinal hernias, and they are often diagnosed postoperatively. In the literature, several cases of various histologic subtypes are reported, including myxoid degeneration, sclerosing or inflammatory types, pleomorphic, and even cases with cartilaginous metaplasia [10][11][12][13][14][15] . Welldifferentiated tumors usually have no metastatic potential, although the rate of metastases is high in undifferentiated tumors, usually through hematological route to lungs and bones 10,16 .…”

Liposarcoma of the spermatic cord mimicking a left inguinal hernia: a case report and literature review

“…The typical clinical manifestation of LSC was a slowly growing, non-tender, painless, nodular mass of varying size, located intra-scrotally above the testis or in the groin [9]. Only a few cases presented with a painful node [5,10-12], preoperative diagnosis was not common and was often confused with an inguinal hernia, hydrocele or spermatocele, or a tumor of the testis or epididymis [2,6,10,13-19]. In the present case, the scrotal mass was palpable when the patient was in the upright position and disappeared when he was lying down.…”

A Case of Myxoid Liposarcoma of the Retroperitoneum: A Challenging Tumour for Diagnosis and Treatment

“…Some authors have described cases of myxoid LS in the retropharyngeal space [9], in the right inguinal region presenting as painless inguinal mass [10], in the breast [11], and in the spermatic cord manifesting as painless scrotal or inguinal mass [12] and a primary localization in the pericardium [13]. Other sites of metastasis may be bones, thyroid gland [14], neck, small bowel [15], pericardium, and heart and in very rare cases myxoid LS may metastasize into the pancreas [16].…”