Spermatic cord liposarcoma

Case contributed by Dr Michael P Hartung

Presentation

Inguinal mass.

Patient Data

Age: 50 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT with IV, oral contrast

CT

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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