Akademik Veri Yönetim Sistemi
Cumhuriyetimizin 100. yılı Üroloji Toplantısı, Ankara, Türkiye, 26 - 29 Ekim 2023, ss.77-80, (Tam Metin Bildiri)
INTRODUCTION
Spermatic cord liposarcoma is a rare disease and there are a limited number of cases in the
literature. Although there is no definite agreement on the treatment, the general opinion in
the initial treatment is surgical excision. There are 3 subtypes of liposarcoma;
dedifferentiated/well differentiated liposarcoma, myxoid/round cell liposarcoma,
pleomorphic liposarcoma. We present a case of dedifferentiated liposarcoma of the left
spermatic cord.
CASE PRESENTATION
A 61-year-old man with no known comorbidities was admitted to hospital with left testicular
swelling that started 12 months ago. In the scrotal ultrasonography; left testis has been
observed significant heterogeneous, peripheral vascularity was observed but vascular coding
in the testis was not observed, a solid lesion measuring approximately 170 x 120 mm was
observed in the left scrotum.
In the abdominal CT; a solid lesion filling the left scrotum, extended into the left inguinal canal,
including collection areas; no findings in favor of metastasis. Tumor markers were normal (α-
fetoprotein: 1.69 ng/mL, Beta-HCG: 1.51 mIU/mL, LDH: 139 U/L).
It was decided to perform a left radical orchiectomy, which was performed scrotally due to
the size of the mass. The operation was performed without complications.
Pathology was reported as dedifferentiated liposarcoma; Ki-67 index was 15-20%, desmin
positive, smooth muscle actin negative, S-100 positive.No tumor was detected in the testis.
As a result of the multidisciplinary evaluation (Uro-oncology council) made in our clinic,
decided to follow up the patient with imaging. No recurrence or metastasis was detected in
the patient who was followed by us for 2 years.
Keywords: testis, dedifferentiated liposarcoma, paratesticular mass