Malignant tumours of the spermatic cord with contribution of a rare case of lymphosarcoma

A detailed survey is given of the problem of malignant tumours of the spermatic cord.The authors present their own case of lymphosarcoma of the spermatic cord. They found only three cases of lymphosarcoma of the spermatic cord in the accessible literature. In the treatment of these malignant tumours they prefer to make radical operation — hemicastration with total extirpation of the spermatic cord — followed by radiotherapy.     

老年精索囊性淋巴管瘤1例报告并文献复习

目的:探讨精索囊性淋巴管瘤的临床病理特点与诊治方法。方法:回顾1例71岁老年精索囊性淋巴管瘤行右精索淋巴管瘤切除术的临床资料,并复习有关文献。结果:患者痊愈出院,术后随访3个月无复发,病理诊断为囊性淋巴管瘤。免疫组化:CD31+。结论:精索淋巴管瘤是一种良性肿瘤,主要症状为精索局部包块伴有阴囊部坠胀不适。完善术前辅助检查及体检对明确诊断十分重要,手术治疗效果理想,预后良好。     

精索旁侵袭性血管黏液瘤的临床特征(附2例报告及复习文献)

目的探讨精索旁侵袭性血管黏液瘤的临床特征。方法报告2例精索旁侵袭性血管黏液瘤患者的临床资料,结合文献复习进行讨论。结果2例患者的精索旁侵袭性血管黏液瘤均手术完整切除,经随访6~8个月,无肿瘤复发。病理诊断为精索旁侵袭性血管黏液瘤。结论侵袭性血管黏液瘤临床罕见,在男性好发于精索旁,确诊依赖病理学检查,治疗需手术完整切除肿瘤,术后应长期严密随访。     

Liposarcoma of the spermatic cord masquerading as an incarcerated inguinal hernia

We present a rare case of liposarcoma of the spermatic cord. There are only 61 reports in the literature. The presenting complaint is usually a painless bulge in the inguinal or scrotal region. Our patient presented with a new-onset inguinoscrotal swelling that was misdiagnosed preoperatively as an incarcerated indirect hernia. The treatment for a spermatic cord liposarcoma is radical orchiectomy with high ligation of the cord. Radiation therapy is recommended in addition to surgery in situations with evidence of tumor with propensity for more aggressive behavior (i.e., high-grade tumor, lymphatic invasion, inadequate margin, or recurrence). The current literature, diagnosis, and management of malignant tumors of the spermatic cord are reviewed.     

A case of lipoma of the spermatic cord

A recently experienced case of lipoma of the spermatic cord is reported. The patient was a 42-year-old man with the chief complaint of indolent swelling of the left scrotal contents which had been noticed about six months earlier. An elastic firm, nontender and fist-sized mass with negative transillumination was palpated in the left spermatic cord. The tumor was removed and histologically diagnosed as lipoma originating in the left spermatic cord. The removed specimen weighed 72 g and was 8 X 5 X 3 cm. Including the present case, 40 cases of lipoma of the spermatic cord in the Japanese literature are reviewed.     

Giant liposarcoma of the spermatic cord: report of a case

We report a case of a 3,100 g giant liposarcoma of the spermatic cord in an 88-year-old man. The tumor had been present for 13 years. The pathological diagnosis was well-differentiated liposarcoma of sclerosing type. Twenty-two cases of spermatic cord liposarcoma found in the Japanese literature were reviewed. This case was thought to be of the largest tumor and oldest patient in the Japanese literature.     

Metastatic tumors of spermatic cord

A case of metastatic carcinoma to the spermatic cord is presented. The previous 12 cases documented in the literature are reveiwed. In the majority of cases the primary tumor occurred in the gastrointestinal tract with metastasis to the spermatic cord by retrograde lymphatic flow.     

Cavernous hemangioma of the spermatic cord: a case report]

Cavernous hemangioma of the spermatic cord is a very rare disorder. A 26-year-old man was admitted to our hospital with chief complaints of right intrascrotal mass and hematospermia on October 19, 1990. Physical examination revealed a hard, non-transilluminated mass in the right spermatic cord. The mass was resected via the groin. Pathological examination showed cavernous hemangioma. The patient's postoperative course was uneventful. This is only the fourth case of cavernous hemangioma of the spermatic cord to be reported in the literature in Japan.     

精索扭转的诊断及治疗(附26例报告)

目的总结精索扭转的诊治经验。方法回顾性总结了1995年6月-2004年6月期间26例精索扭转患者的诊治资料,结合文献进行分析。结果本组26例患者经彩超检查（CDu）确诊为精索扭转23例,25例患者经手术证实为精索扭转。1例手法复位治愈,18例行坏死睾丸切除术。7例手术复位者随访0．5—3年,6例复位睾丸血流正常,1例睾丸萎缩。结论在诊断精索扭转中,CDU与核素显像相比,CDU具有准确率高,方便快捷。早期诊断、及时手术探查行扭转精索复位和睾丸固定是提高睾丸存活率的关键。     

Spermatic cord liposarcoma and prostate adenocarcinoma: a synchronous association

Spermatic cord liposarcoma is rare, with fewer than a 100 reported cases in the world literature. We report on its presence in an elderly man who presented with a painless scrotal mass. The serum prostate specific antigen (PSA) level was also found to be elevated. Transrectal ultrasound biopsy of the prostate confirmed the presence of adenocarcinoma. This is the first report of prostatic adenocarcinoma in association with spermatic cord liposarcoma in the English literature. The treatment options for spermatic cord liposarcoma are discussed further.     

原发性精索平滑肌肉瘤一例报告

本文回顾性分析承德医学院附属医院收治的1例精索平滑肌肉瘤患者的临床资料,对其临床特点、诊断、治疗及预后进行讨论。本例临床表现为无痛性肿块,行根治性左侧睾丸切除术+左侧精索高位结扎术。术后病理诊断为精索平滑肌肉瘤。本病确诊依靠病理检查。治疗以根治性切除术为主,术后放疗可减少复发,提高远期生存率。     

Solitary neurofibroma of the spermatic cord

We report a case of solitary neurofibroma of the spermatic cord. Such benign tumors arise from perineural and Schwann cells and may be located in various parts of the body, but are rarely observed in the spermatic cord. No clinical or laboratorial manifestations of von Recklinghausen disease (Neurofibromatosis) were identified. Distinct criteria have been established for a diagnosis of von Recklinghausen disease, so that a solitary neurofibroma may not represent this complex. Only a little number of solitary neurofibromas of the spermatic cord are reported in the literature.     

A case of lipoma of the spermatic cord

A rare case of lipoma of the spermatic cord is reported. A 53-year-old man was admitted with painless mass in the left scrotum during the preceding one year. Since an elastic soft, tenderless, smooth surface, fist-sized and low echoic solid pattern mass in the left scrotum was suspected of tumor of the spermatic cord, resection of the mass with left orchiectomy was performed. Histological finding showed lipoma of the spermatic cord. Including the present case, 61 cases of intrascrotal lipoma in the Japanese literature are reviewed.     

精索恶性纤维组织细胞瘤1例报告并文献复习

目的：探讨精索恶性纤维组织细胞瘤的临床特点、治疗及预后.方法回顾性分析1例精索恶性纤维组织细胞瘤的临床资料,结合相关文献分析讨论该病的病因、临床表现、诊治方法及预后.结果患者右腹股沟区肿物2年,泌尿系彩色多普勒超声检查发现右腹股沟区有一3．3 cm×1．7 cm 中低混合回声结构,CT 检查见右侧腹股沟区类圆形异常密度影,病变内部密度欠均匀,呈高低混杂密度,行精索肿物切除术,病理检查结果为精索恶性纤维组织细胞瘤.结论精索恶性纤维组织细胞瘤为罕见的高度恶性肿瘤,易误诊、误治;病史、B 超、CT 及 MRI 检查等是诊断精索恶性纤维组织细胞瘤的重要手段,确诊依靠组织病理学检查;治疗推荐广泛性或根治性切除术联合术后辅助放疗.     

A case of metastatic tumor of spermatic cord from renal cell carcinoma

A 51-year-old man was admitted with the complaint of left scrotal swelling (11 x 5 x 5 cm). He had undergone left nephrectomy and removal of tumor thrombus in inferior vena cava due to renal cell carcinoma. Nine months after the nephrectomy, left scrotal enlargement was noticed. Left high orchiectomy was performed on January 20, 1988. A clear cell carcinoma was present in spermatic cord and pampiniform plexus histologically but testis and epididymis were intact. Renal cell carcinoma seemed to disseminate retrograde through the spermatic vein to spermatic cord. The metastatic tumor of spermatic cord from renal cell carcinoma is very rare and this case is the fifth case in the Japanese literature.     

Dermoid cyst of the spermatic cord in children

Most of inguinal masses in children correspond to inguinal indirect hernias, but other pathologic entities may be found. Dermoid cysts of the spermatic cord are very rare, with only 9 clear cases reported in the literature to date, all of them in adults. We present a case of dermoid cyst of the spermatic cord in a 2-year-old boy, the youngest patient reported so far. Dermoid cysts of the spermatic cord should be considered as part of the differential diagnosis of inguinal masses in children, especially in cases of long-standing, nontender, and irreducible inguinal mass.     

The management of spermatic cord liposarcomas

We review 3 cases of spermatic cord liposarcoma that have been followed for 12 months to 5 years after diagnosis. Inguinal orchiectomy rendered adequate treatment. Preoperative diagnosis of liposarcoma of the spermatic cord is unusual although gray scale sonography may be of some assistance. A review of the literature reveals that adjunctive medical or surgical treatment appears to be superfluous.     

Spermatic cord mass as a manifestation of systemic vasculitis: a case report and review of the literature

We report a case of necrotizing granulomatous vasculitis in the spermatic cord in a 35-year-old man with an antecedent of brain stroke 3 years before. The clinical manifestation was as a painless left scrotal mass. The diagnosis was established by histological examination of the spermatic cord. We discuss the physical findings, radiological features and pathological findings, reviewing the literature for previous similar cases.     

Spermatic cord metastasis from colon cancer: report of a case

We herein report an extremely rare case of a solitary metastasis to the spermatic cord from colon cancer. A 71-year-old man who had undergone a right hemicolectomy for stage II cecal cancer 12 months prior, and who had not received adjuvant chemotherapy, was found to have a mass in the right groin region. Computed tomography (CT) revealed that the right spermatic cord was involved in a heterogeneously enhanced mass that measured 37 mm in diameter. A right high orchiectomy was performed. Histological examination of the resected tumor revealed well-differentiated adenocarcinoma compatible with a metastasis from colon cancer. The patient has been doing well, without recurrence, for 15 months postoperatively. To our knowledge, this is the 9th case of a solitary metastasis to the spermatic cord from colon cancer to be reported in the Japanese literature. The survival data of the collected cases suggest that resection of the solitary metastasis to the spermatic cord from colon cancer improves the patient prognosis.     

Malignant fibrous histiocytoma of the spermatic cord: the role of retroperitoneal lymphadenectomy in management

Malignant fibrous histiocytoma of the spermatic cord is rare, with only 6 previously reported cases. We describe 2 new cases that were treated with retroperitoneal lymphadenectomy. To our knowledge, this is the first report in the literature of retroperitoneal lymphadenectomy for the treatment of this specific lesion. The literature is reviewed in regard to the sarcomatous nature of this tumor and the use of retroperitoneal lymphadenectomy performed for spermatic cord sarcomas. We conclude that this procedure should be considered strongly as a surgical adjunct to wide local excision in the management of this unusual tumor.