Open Access Primary liposarcoma of the spermatic cord is rare, and preoperative diagnosis is difficult. We report a rare case of well-differentiated liposarcoma in 65-year-old man. The patient’s chief complaint was painless enlargement of a mass in the right inguinal area that had persisted for about two months. The main component of the mass was wrapped around the spermatic cord and several components were around the testis. Ultrasonography of the main component showed mixed echogenicity. CT showed an ovoid fat-containing nodule and several other fat-density masses surrounding the testis. The mass was surgically removed, along with the right testis and spermatic cord. A pathological examination showed a well-differentiated liposarcoma of the right spermatic cord and testis.