Spermatic cord liposarcoma
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CT with IV, oral contrast
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Tubular, fluid-attenuation mass filling the right spermatic cord. Smoothly enhancing wall. Small enhancing nodular soft tissue component. Right hydrocele.
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.