TY - JOUR AR - SCR-2018-3-101 TI - Spermatic Cord Liposarcoma in the Context of a Recurrent Inguinal Hernia, Case Report AU - Del Carmen Ortega , Ignacio AU - Escalona Ramrez Luis , Enrique AU - Hernández, Rejon Minerva Irene AU - Herrera González, Antonio AU - Monroy , Cedillo José Luis AU - Rivero Yañez, Fernando AU - Salazar Jiménez Marcos , Irving AU - Valdez Diaz , Brenda JO - Surgical Case Reports PY - 2018 DA - Sat 15, Sep 2018 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2018.03.001 UR - https://www.sciencerepository.org/spermatic-cord-liposarcoma-in-the-context-of-a-recurrent-inguinal-hernia_SCR-3-101 KW - liposarcoma, spermatic cord, inguinal hernia, recurrent inguinal hernia AB - Introduction: The spermatic cord sarcomas are rare entities, with only 46 cases reported in the last 5 years worldwide. The majority of those were misdiagnosed as inguinal hernias and treated with hernioplasty, delaying the correct treatment. Case report: We present a 56-year-old male who was operated 3 times for right inguinal hernia recurrence. Because of a persistent right spermatic cord bulk, he had a right radical orchiectomy, and the pathology reported the diagnosis of liposarcoma. Afterward, we requested a PET/CT which revealed a hypermetabolic lesion of 33x32mm in the right scrotum. We performed an oncological resection and classified the tumor as a stage III liposarcoma. Conclusion: The reported case illustrates the classical presentation of these tumors and their evolution. Despite the radical treatment, due to the biology of this cancer, the prognosis is bad if patients are not operated properly from the beginning.