British Journal of Urology (1978). 50. 429

Spermatic Cord Liposarcoma Case Report A 77-year-old man was referred to the hospital with a month's history of a painless swelling in the left side of the scrotum. On examination there was a gooseeggsized, firm with rubbery consistency, smooth but slightly lobulated mass in the scrotum which did not transilluminate. Left orchidectomy with high ligation of the spermatic cord was performed. Exploration showed 2 tumour masses, separated from each other, which appeared to be arising from the spermatic cord (Fig. 1). The testis was normal. Microscopically 2 masses presented essentially the same features. They were composed of adult fat admixed with collagenous connective tissue. Intermingled among them were large lipoblasts with foamy cytoplasm and bizarre giant cells with deep-staining nuclei. Diagnosis: well differentiated liposarcoma (Fig. 2). Convalescence was uneventful but he died elsewhere 1 month later due to heart failure.

Comment Among the soft tissue sarcomas, liposarcoma is

Fig. 2 Photomicrograph showing large lipoblasts with foamy cytoplasm and bizarre giant cells with deep-staining nuclei (H. and E. X 200).

ane of the more common malignant tumours (Stout and Lattes, 1967). But liposarcoma of the spermatic cord is extremely rare (Datta et a/., 1971; Mackenzie and Roberts, 1974).

References Datta, N. S., Singh, S. M. and Bapna, B. C. (1971). Liposarcoma of the spermatic cord: report of a case and review of the literature. Journal of Urology, 106, 888-889. Mackenzie, I. and Roberts, G. H. (1974). Liposarcoma of paratesticular origin: a case report. British Journal of Urology, 46, 467-470. Stout, A. P. and Lattes, R. (1967). Tumors of the soft tissues. In Atlas of tumor pathology, 2nd series, Fasc. 1. Armed Forces Institute of Pathology, Washington D.C.

The Authors Fig. 1 Photograph showing a large turnour mass arising from the region of the external inguinal ring and smaller one from the middle portion of the spermatic cord.

K. Senoh,' Y. Osada' and J. Kawachi,? Departments of Urology* and Pathology,t Medical College of Miyazaki, Kiyotake-cho, Miyazaki 889-16, Japan.

429

Spermatic cord liposarcoma.

British Journal of Urology (1978). 50. 429 Spermatic Cord Liposarcoma Case Report A 77-year-old man was referred to the hospital with a month's histo...
354KB Sizes 0 Downloads 0 Views