Spermatic cord liposarcoma

Case contributed by Dr Michael P Hartung

Presentation

Inguinal mass.

Patient Data

Age: 50
Gender: Male
CT

CT with IV, oral contrast

Tubular, fluid-attenuation mass filling the right spermatic cord. Smoothly enhancing wall. Small enhancing nodular soft tissue component. Right hydrocele.

Case Discussion

PATHOLOGY:  Dedifferentiated liposarcoma with leiomyosarcomatous components.

Although uncommon, it is good to have a differential for spermatic cord masses, which include: lipoma/liposarcoma, leiomyoma/leiomyosarcoma, rhabdomyosarcoma, schwannoma, malignant fibrous histiocytoma, and fibrous pseudotumor. 

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Case information

rID: 59026
Published: 17th Mar 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Ascension Healthcare

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