Liposarcoma of spermatic cord mimicking an inguinal hernia A case report and review of the literature.

IF 0.9 4区医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2023-10-10

Francesco Paolo Tinozzi, Benedetto Calì, Martina Bertolami, Andrea Rebba, Giovanni Morone, Simone Albertario, Francesca Abbiati, Nadine Osman, Rubina Ruggiero

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Abstract

Aim: Liposarcoma of the spermatic cord (LSC) is a tumour often mistaken for common inguinal swelling as hernia and the aim of this work is to present our case with a review of the Literature to define the management of this rare condition.

Material of study: A systematic review has been realised, considering English language articles published on Pubmed, between 1956 and 2022, using as key words "Liposarcoma of the spermatic cord".

Results: 160 studies described 420 cases of LSC and in 40 cases the patient had undergone surgery with an initial diagnosis of inguinal hernia.

Discussion: LSC is a very rare entity of genitourinary malignancies, occurring more often in the spermatic cord and diagnosis can be difficult. Our case and Literature data confirm the role of imaging in not conventional inguinal swelling, to avoid diagnostic mistakes and to define preoperatively the correct surgical management.

Conclusions: Imaging is mandatory in case of diagnostic doubt. The recommended treatment is a radical high orchiectomy with clear margins. A long follow-up period is necessary to detect a local recurrence which may occur even several years after the primary therapy.

Key words: Inguinal swelling, Liposarcoma, Spermatic cord.

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模拟腹股沟疝的精索脂肪肉瘤1例报告及文献复习。

目的:精索脂肪肉瘤(LSC)是一种经常被误认为腹股沟肿胀为疝的肿瘤，本研究的目的是通过回顾文献来确定这种罕见疾病的治疗方法。研究材料:对1956年至2022年间发表在Pubmed上的英文文章进行了系统回顾，关键词为“精索脂肪肉瘤”。结果:160项研究描述了420例LSC病例，其中40例患者接受了手术，初步诊断为腹股沟疝。讨论:LSC是一种非常罕见的泌尿生殖系统恶性肿瘤，多发生于精索，诊断困难。我们的病例和文献资料证实了影像学在非传统腹股沟肿胀中的作用，以避免诊断错误并确定术前正确的手术处理。结论:对诊断有疑问时，影像学检查是必须的。建议采用边缘清晰的根治性高位睾丸切除术。长期的随访对于发现局部复发是必要的，局部复发可能在初次治疗后数年发生。关键词:腹股沟肿胀，脂肪肉瘤，精索。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.