Sclerosingliposarcoma of the Spermatic Cord – Case Report and Literature Review

Liposarcoma are a group of malignant tumours which are derived from mesodermal tissue [1]. These tumours can occur anywhere in the body where fatty tissue is present [1]. Almost 70% of cases are located in the extremities and the retroperitoneum [2]. The spermatic cord is a rare site for liposarcoma; around 200 cases of liposarcoma of the spermatic cord (LSC) have been reported in the English literature to date [3,4]. LSC usually presents as a non-tender, slow growing mass of variable size in the scrotum or inguinal region [1,5]. Occasionally, their growth is rapid [2]. Few cases present with pain [4]. The mean age of presentation is 61 [3]. However, cases in ages ranging from 16 to 88 have been noted [5]. Though cases have been reported worldwide, almost a quarter have been described in Japanese men [3]. Clinically, LSC is often mistaken for more common pathologies, such as an inguinal hernia, hydrocele, spermatocele, or tumours of the testes and epididymis [2]. Below, we present a textbook case of liposarcoma of the spermatic cord.