Multidisciplinary approach to giant paratesticular liposarcoma

Raquel Sopeña-Sutil, Francesco Silan, Maria Teresa Butron-Vila, Felix Guerrero-Ramos, Emilio Lagaron-Comba, Juan Passas-Martinez

Abstract


Primary paratesticular tumours are very rare and the spermatic cord (SCT) is the most frequent site of origin, with 20% of malignancy. Although liposarcoma is the most frequent histotype (46.6 %), less than 200 cases have been reported in the literature.

We report the case of a 56-year-old man who presented a giant scrotal mass of 25 years of evolution and measuring 40 x 40 cm. It could be considered the greatest paratesticular liposarcoma described to date. Computed tomogaphy (CT) revealed mass features consistent with liposarcoma and the simultaneous presence of bilateral inguinal hernia with bladder involvement. A multidisciplinary approach was taken to remove the mass, solve the hernia, and provide functional results.


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DOI: http://dx.doi.org/10.5489/cuaj.3346

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