Spermatic cord liposarcoma
Spermatic cord liposarcoma is the most common malignant tumor of the spermatic cord. Most present as painless, slow-growing masses and can be mistaken for inguinal hernias. They are usually well-differentiated and spread by local extension.
In a large population-based registry, the annual incidence of spermatic cord tumor (SCT) is 0.3 cases/million. 362 patients with SCT were identified, with histological subtypes of liposarcoma (46%), leiomyosarcoma (20%), histiocytoma (13%), and rhabdomyosarcoma (9%)3.
Most present as painless, slow growing masses. They can be mistaken for inguinal hernia, hydrocele, or other paratesticular neoplasm.
Most are low-grade and well-differentiated.