Sclerosing liposarcoma of epididymis: Role of chemical shift magnetic resonance imaging

Abstract

Sclerosing liposarcoma of epididymis is a rare extratesticular scrotal tumor with variable prognosis. Ultrasonography is the initial imaging modality of choice for the evaluation of scrotal mass and helps to differentiate testicular and extratesticular masses, thereby narrowing down the differential diagnosis. Magnetic resonance imaging with its excellent soft tissue resolution can help in the further characterization of the nature of the tumor. In this case report, we highlight the role of chemical shift imaging in making a confident preoperative diagnosis of liposarcoma thereby guiding optimal and timely management.

Supernumerary testicle presented as an extra scrotal lump

“…Lipid poor mixed liposarcoma, which has no detectable intralesional fat, remained as an option. This tumor displays high signal intensity on T2 images [10,11], more prominent than in our case, which favored the diagnosis of supernumerary testicle.…”