Open Access

RESIDENT’S CORNER

Spermatic cord dedifferentiated liposarcoma presenting as a recurrent inguinal hernia

Chad Crigger¹, John Barnard¹, Stanley Zaslau¹, Jeffrey A. Vos²

1 Division of Urology, West Virginia University, Morgantown, West Virginia, USA
2 Department of Pathology, West Virginia University, Morgantown, West Virginia, USA
Address correspondence to Dr. Chad Crigger, Division of Urology, West Virginia University, Morgantown, WV USA

Canadian Journal of Urology 2016, 23(6), 8581-8584.

Abstract

Paratesticular sarcomas are a rare entity and provide a unique clinical challenge due to their slow growing, often painless natural course. Adding to this challenge is the complex anatomy of the scrotum that allows these masses to mimic other conditions, including inguinal hernia, cysts, or fluid collections. We report such a case and our approach to an 83-year-old male with dedifferentiated liposarcoma of the spermatic cord with a history of inguinal hernia. In doing so, we highlight the need for thorough evaluation of scrotal masses and the management of these rare, though well-described, tumors.

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