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

Li F, Tian R, Yin C, Dai X, Wang H, Xu N, Guo K - World J Surg Oncol (2013)

Bottom Line: These tumors are often mistaken for common scrotal swellings, such as hydroceles and hernias.We present a LSC case in which a definitive diagnosis was obtained upon histological examination.We also provide a literature review of other cases that have been reported.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Andrology, First Hospital of Jilin University, Changchun, Jilin, China.

ABSTRACT
Liposarcoma of the spermatic cord (LSC) is a rare condition characterized by a painless inguinal or scrotal mass. To our knowledge, only about 200 cases have been previously reported in the literature. These tumors are often mistaken for common scrotal swellings, such as hydroceles and hernias. We present a LSC case in which a definitive diagnosis was obtained upon histological examination. We also provide a literature review of other cases that have been reported.

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HE staining of LSC. Microscopically well-differentiated myxoid liposarcoma composed of mature adipose tissue and a few scattered lipoblasts (yellow arrow: mature fatty cells) (H&E ×400).
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Figure 2: HE staining of LSC. Microscopically well-differentiated myxoid liposarcoma composed of mature adipose tissue and a few scattered lipoblasts (yellow arrow: mature fatty cells) (H&E ×400).

Mentions: Histological examination confirmed a well-differentiated myxoid liposarcoma, composed of mature adipose tissue and a few scattered lipoblasts separated by fibrous septa into the lobules of varying sizes. Lipoblasts with hyperchromatic nuclei, irregularly-shaped spindle cells and abnormal cells were present in myxoid areas (Figure 2). The surgical margin was free of tumor. The left inguinal sentinel lymph node biopsy showed no evidence of metastasis. The patient had a good postoperative clinical course without complications and was discharged on the seventh postoperative day. After an 18-month follow-up without adjuvant therapy, the patient was in good condition with no evidence of recurrence. No metastasis was seen during this period.


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

Li F, Tian R, Yin C, Dai X, Wang H, Xu N, Guo K - World J Surg Oncol (2013)

HE staining of LSC. Microscopically well-differentiated myxoid liposarcoma composed of mature adipose tissue and a few scattered lipoblasts (yellow arrow: mature fatty cells) (H&E ×400).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3585812&req=5

Figure 2: HE staining of LSC. Microscopically well-differentiated myxoid liposarcoma composed of mature adipose tissue and a few scattered lipoblasts (yellow arrow: mature fatty cells) (H&E ×400).
Mentions: Histological examination confirmed a well-differentiated myxoid liposarcoma, composed of mature adipose tissue and a few scattered lipoblasts separated by fibrous septa into the lobules of varying sizes. Lipoblasts with hyperchromatic nuclei, irregularly-shaped spindle cells and abnormal cells were present in myxoid areas (Figure 2). The surgical margin was free of tumor. The left inguinal sentinel lymph node biopsy showed no evidence of metastasis. The patient had a good postoperative clinical course without complications and was discharged on the seventh postoperative day. After an 18-month follow-up without adjuvant therapy, the patient was in good condition with no evidence of recurrence. No metastasis was seen during this period.

Bottom Line: These tumors are often mistaken for common scrotal swellings, such as hydroceles and hernias.We present a LSC case in which a definitive diagnosis was obtained upon histological examination.We also provide a literature review of other cases that have been reported.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Andrology, First Hospital of Jilin University, Changchun, Jilin, China.

ABSTRACT
Liposarcoma of the spermatic cord (LSC) is a rare condition characterized by a painless inguinal or scrotal mass. To our knowledge, only about 200 cases have been previously reported in the literature. These tumors are often mistaken for common scrotal swellings, such as hydroceles and hernias. We present a LSC case in which a definitive diagnosis was obtained upon histological examination. We also provide a literature review of other cases that have been reported.

Show MeSH
Related in: MedlinePlus