Murilo Augusto Ferreira, Gabriel Andrade Agareno, Fernando Aparecido Pazini, Patrícia Mendes dos Santos Angolini, Mateus Santos Matos, Viktor Dias Magalhães, Manuela Mascaro Dias, Daniel Salerno Muzilli, Thiago da Silveira Antoniassi
{"title":"Spermatic cord liposarcoma mimicking recurrent incarcerated inguinal hernia: A case report","authors":"Murilo Augusto Ferreira, Gabriel Andrade Agareno, Fernando Aparecido Pazini, Patrícia Mendes dos Santos Angolini, Mateus Santos Matos, Viktor Dias Magalhães, Manuela Mascaro Dias, Daniel Salerno Muzilli, Thiago da Silveira Antoniassi","doi":"10.1016/j.eucr.2026.103517","DOIUrl":null,"url":null,"abstract":"<div><div>Spermatic cord liposarcoma is a rare malignant neoplasm often misdiagnosed as benign conditions. This similarity may lead to inadequate surgical approaches.</div><div>A 55-year-old man with a prior history of inguinal hernioplasty presented with an incarcerated scrotal mass. The initial hypothesis of recurrent hernia was ruled out after negative surgical exploration. Imaging suggested a lipomatous lesion, and a resection with left orchiectomy was performed. Histopathological examination confirmed liposarcoma.</div><div>Spermatic cord liposarcoma is a differential diagnosis of inguinoscrotal masses. Radical resection with negative margins is the gold standard treatment. Long-term surveillance is mandatory due to the risk of recurrence.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"67 ","pages":"Article 103517"},"PeriodicalIF":0.5000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320326/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442026001804","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/23 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Spermatic cord liposarcoma is a rare malignant neoplasm often misdiagnosed as benign conditions. This similarity may lead to inadequate surgical approaches.
A 55-year-old man with a prior history of inguinal hernioplasty presented with an incarcerated scrotal mass. The initial hypothesis of recurrent hernia was ruled out after negative surgical exploration. Imaging suggested a lipomatous lesion, and a resection with left orchiectomy was performed. Histopathological examination confirmed liposarcoma.
Spermatic cord liposarcoma is a differential diagnosis of inguinoscrotal masses. Radical resection with negative margins is the gold standard treatment. Long-term surveillance is mandatory due to the risk of recurrence.
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