Giant Spermatic Cord Liposarcoma

We report a case of giant spermatic cord liposarcoma (SCL) in an 81-year-old patient, presenting with a huge scrotal mass that reached up to the knee joint. SCL is a rare tumor, and about 200 cases have been reported in the literature so far. Although 20% of liposarcomas arise in the retroperitoneum, only 0.1% present as incidental inguinal hernias. The occasional presence of myxoid stroma in well-differentiated liposarcomas can lead to confusion with myxoid sarcoma subtypes. Correct diagnosis is critical and reflects remarkable differences in behavior and therapeutic choices.Key words: Liposarcoma, Spermatic cord, Scrotal massSpermatic cord liposarcoma (SCL) is a very rare tumor, and about 200 cases have been described in the literature up to date. Clinically, these tumors can sometimes mimic the common scrotal masses such as hernias, testicular cancer, and hydrocele. Their histologic heterogeneity reflects remarkable differences in both prognosis and treatment. We report a case of SCL in an 81-year-old patient presenting with a huge scrotal mass.