Del Carmen Ortega  Ignacio,Escalona Ramrez Luis  Enrique,Hernández Rejon Minerva Irene,Herrera González Antonio,Monroy  Cedillo José Luis,Rivero Yañez Fernando,Salazar Jiménez Marcos  Irving,Valdez Diaz  Brenda,
Spermatic Cord Liposarcoma in the Context of a Recurrent Inguinal Hernia, Case Report
Surgical Case Reports
2018
2613-5965
http://dx.doi.org/10.31487/j.SCR.2018.03.001
https://www.sciencerepository.org/spermatic-cord-liposarcoma-in-the-context-of-a-recurrent-inguinal-hernia_SCR-3-101 
Abstract: 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.Keywords: liposarcoma, spermatic cord, inguinal hernia, recurrent inguinal hernia