Unusual case of locally advanced and metastatic paratesticular liposarcoma: a case report and review of the literature

  • Stefano Chiodini | stefano.chiodini@apss.tn.it Department of Urology, Santa Chiara Hospital, Trento, Italy.
  • Lorenzo G. Luciani Department of Urology, Santa Chiara Hospital, Trento, Italy.
  • Tommaso Cai Department of Urology, Santa Chiara Hospital, Trento, Italy.
  • Alberto Molinari Department of Urology, Don Calabria-Sacro Cuore Hospital, Negrar (VR), Italy.
  • Luca Morelli Department of Pathology, Santa Chiara Hospital, Trento, Italy.
  • Chiara Cantaloni Department of Pathology, Santa Chiara Hospital, Trento, Italy.
  • Mattia Barbareschi Department of Pathology, Santa Chiara Hospital, Trento, Italy.
  • Gianni Malossini Department of Urology, Santa Chiara Hospital, Trento, Italy.

Abstract

Liposarcoma accounts for 20% of all sarcomas and is a rare occurrence in the paratesticular region. We present the case of a 66-year-old man with a massive liposarcoma of the right scrotum invading the lower limb and the abdominal wall skin. The case concerns an unusually large and aggressive liposarcoma (25 cm), presenting with multiple lung and nodal metastases. The patient had an unfavourable evolution with rapid progression of metastases, although there were no signs of local disease. In this case, a wide local excision was performed in order to obtain local control of the disease. Even though paratesticular sarcomas might have a more favourable evolution, the association with lung involvement carries an ominous prognosis. Diagnosis of paratesticular sarcoma should be kept in mind in case of irregular necrotic masses in the inguinal and scrotal region.

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Published
2015-03-31
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Issue
Section
Case Reports - Oncology
Keywords:
Liposarcoma, Testicular neoplasms, Case report, Spermatic cord, Orchiectomy
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How to Cite
Chiodini, S., Luciani, L., Cai, T., Molinari, A., Morelli, L., Cantaloni, C., Barbareschi, M., & Malossini, G. (2015). Unusual case of locally advanced and metastatic paratesticular liposarcoma: a case report and review of the literature. Archivio Italiano Di Urologia E Andrologia, 87(1), 87-89. https://doi.org/10.4081/aiua.2015.1.87

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