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Liposarcoma of the Spermatic cord: A Case Report and Review of the Literature

机译:精索脂肪肉瘤:一例报道并文献复习

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Liposarcoma of the spermatic cord is rare. This is a case report of 58 year old man presenting with clinical impression of large right sided inguinal hernia mass. Histology revealed liposarcoma of the seminal cord. Introduction The liposarcoma of the spermatic cord is a rare condition, representing about 7% of paratesticular sarcomas[1]. Case A 58 year old patient presented with the clinical impression of a right-sided inguinal hernia. He reported gradual enlargement of this painless scrotal mass during the previous three years. Clinical examination revealed a painless scrotal mass adjacent to the external inguinal ring but separated from the normal testis and epididymis was palpated. Ultrasound examination of this scrotal mass was hyperechogenic and inhomogeneous and separated from the testis and epididymis, which showed no pathological finding. During surgery a lipomatous mass was found, that could not be separated from the right seminal cord. Frozen section revealed a malignant tumour. Wide excision and radical orchectomy were performed. The weight of the mass was 546 g. This mass had a bunch of grape appearance and consisted of several masses of various sizes surrounding the spermatic cord, and could be separated from the right epididymis and testis. Histological examination revealed well differentiated liposarcoma and lipoma so no further procedures done and patient followed up in 6 months showed no further recurrences or progression of tumor.
机译:精索的脂肪肉瘤很少。这是一例58岁男性,临床表现为右侧腹股沟疝大块。组织学显示精索的脂肪肉瘤。引言精索的脂肪肉瘤是一种罕见的疾病,约占睾丸副肉瘤的7%[1]。病例一名58岁患者表现出右侧腹股沟疝的临床印象。他报告了在过去三年中这种无痛阴囊肿块逐渐增大。临床检查显示,与腹股沟外环相邻的阴囊无痛,但与正常睾丸分开,触诊了附睾。超声检查该阴囊肿块具有高回声性和不均一性,并与睾丸和附睾分开,未见病理发现。手术期间发现了脂肪瘤,无法从右侧精索中分离出来。冷冻切片显示恶性肿瘤。进行了广泛的切除和根治性睾丸切除术。物质的重量为546g。该肿块具有一串葡萄外观,由围绕精索的各种大小的几个肿块组成,可以与右附睾和睾丸分开。组织学检查显示脂肪肉瘤和脂肪瘤分化良好,因此没有进行进一步的手术,患者在6个月的随访中没有发现肿瘤的进一步复发或进展。

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