Spermatic Cord Liposarcoma Presenting as Recurrent Inguinal Hernia– A Case Report
Chia-Ruei Liu , Meng-Hong Shih, En Meng, Ming-Hsin Yang
Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Spermatic cord cancer is a rare entity. Among malignant tumors of the spermatic cord, liposarcomas are the most common type, often presenting as painless slow-growing masses usually in the fifth and sixth decades of life; they can be misdiagnosed as inguinal hernia or hydrocele.
We presented a 42-year-old male who has the history of direct inguinal hernia, left and underwent herniorrhaphy with mesh in February, 2021. Six months later, he complained about protruding, painless soft mass over left inguinal region again for weeks and came to our hospital for help. The physical examination showed a non-tender, mobile left inguinal mass. The computerized tomography revealed a mass lesion over left inguinal canal about 8 x 6.5 x 5 cm in size. The patient underwent exploratory surgery via left inguinal approach and removal of left inguinal mass was done smoothly. Histopathological diagnosis was well-differentiated liposarcoma. On 7-month follow-up there was no evidence of recurrence.
Spermatic cord tumors are difficult to diagnose with imaging, and attention must be paid to the possibility of malignant tumors.