Open AccessMultidisciplinary approach to giant paratesticular liposarcoma
Author(s) -
R. Sopeña-Sútil,
Francesco Silan,
Maria Teresa Butron-Vila,
Félix Guerrero-Ramos,
Emilio Lagaron-Comba,
J.B. Passas-Martínez
Publication year - 2016
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.3346
Subject(s) - liposarcoma , spermatic cord , inguinal hernia , malignancy , medicine , hernia , radiology , surgery , pathology , sarcoma
Primary paratesticular tumours are very rare and the spermatic cord (SCT) is the most frequent site of origin, with 20% of malignancy. Although liposarcoma is the most frequent histotype (46.6 %), less than 200 cases have been reported in the literature. We report the case of a 56-year-old man who presented a giant scrotal mass of 25 years of evolution and measuring 40 x 40 cm. It could be considered the greatest paratesticular liposarcoma described to date. Computed tomogaphy (CT) revealed mass features consistent with liposarcoma and the simultaneous presence of bilateral inguinal hernia with bladder involvement. A multidisciplinary approach was taken to remove the mass, solve the hernia, and provide functional results.