Rare Ewingoid Dedifferentiated Liposarcoma of the Spermatic Cord Causing Testicular Artery Compression: A Case Report

Liposarcomas of the spermatic cord are rare and often clinically histologically misdiagnosed, leading to ineffective management poor outcomes. We present a case metastatic dedifferentiated liposarcoma cord, which recurred after excision misdiagnosed well-differentiated 3 years prior. Due its size high-grade metastasis, tumor was unresectable, treatment with systemic chemotherapy. Complications arose including partial compression testicular artery urethral obstruction secondary local mass effect. Tumor biopsy characterized by unique immunohistochemical profile helped explain processes effect, vascular compression, bilateral scrotal swelling. The patient’s family history malignancy 22/22q trisomy identified in were also interesting contributors. In conclusion, accurate diagnosis tumors is essential for effective treatment, further data collection required improve advanced disease.