Academic Journal
Recurrent paratesticular liposarcoma: a case report
| العنوان: | Recurrent paratesticular liposarcoma: a case report |
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| المؤلفون: | Blaiech, Walid, Ben Othmen, Mouna, Ouahchi, Ines, Alaya, Meriam, Belkacem, Oussama, Hmida, Wissem, Jaidane, Mehdi |
| المصدر: | Annals of Medicine & Surgery ; volume 86, issue 5, page 3103-3108 ; ISSN 2049-0801 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | Introduction and importance: Paratesticular liposarcoma (PTL) is a rare condition, with fewer than 200 cases reported worldwide. It is a malignant tumor that originates from fat tissue with high risk of recurrence. Herein, the authors present a contralateral recurrence of a treated PTL. To the best of the authors’ knowledge, in the current literature, there are few cases reported with recurrent PTL. Case presentation: The authors report the case of a 62-year-old man who presented with a rapidly growing painless right hemiscrotal swelling. Clinical and radiographic evidence suggested the presence of two paratesticular tumors. The patient underwent a radical orchidectomy with resection of the two tumors through an inguinal approach. The histologic examination revealed a sclerosing, well-differentiated liposarcoma. The decision of the multidisciplinary consultation meeting was not to do adjuvant treatment. A follow-up of 12 months showed recurrence of the contralateral scrotum revealed by an FDG-PET/scan. Clinical discussion: PTL, a rare spermatic cord tumor, affects adults aged 50–60, often presenting with scrotal swelling. Diagnosis involves ultrasound, computed tomography, and magnetic resonance imaging. Surgical intervention, including radical orchiectomy and adjuvant radiotherapy, is common for management, while the role of chemotherapy is inconclusive. High-grade subtypes carry a higher recurrence risk. Conclusion: PTL is often misdiagnosed preoperatively. It is typically managed through radical orchidectomy, which includes wide excision and high ligation to ensure free surgical margins and avoid recurrence. The role of adjuvant therapy remains debatable. Despite a generally favorable prognosis, long-term follow-up is crucial because of the elevated risk of recurrence. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/ms9.0000000000001949 |
| DOI: | 10.1097/MS9.0000000000001949 |
| الاتاحة: | http://dx.doi.org/10.1097/ms9.0000000000001949 https://journals.lww.com/10.1097/MS9.0000000000001949 |
| Rights: | http://creativecommons.org/licenses/by-nc-nd/4.0/ http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.EFECDC67 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/ms9.0000000000001949 |
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