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.
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