Myxoid liposarcoma of the spermatic cord: A case report

Abstract

Introduction: Myxoid liposarcoma is a rare condition and a very little number of cases have been described in the spermatic cord to date. It presents as painless scrotal or inguinal masses that are often confused with hydroceles or inguinal hernias. These lesions tend to recur locally, whereas metastasis is less common than with round cell, pleomorphic, and dedifferentiated liposarcomas. For this reason, high inguinal orchiectomy is the treatment of choice in myxoid liposarcoma of the spermatic cord. Prognostically favorable factors in liposarcomas of the spermatic cord are low tumor grade, small tumor size and superficial depth of invasion, complete resection with negative margins, and the absence of metastases. We present a case of myxoid liposarcoma of spermatic cord which has all these favorable prognostic factors with a brief review of this rare entity.