Giant paratesticular dedifferentiated liposarcoma with intraabdominal extension: a case report

Frontiers in Oncology

Oncology

Khairiyah Sidek¹  Yin Ping Wong²  Iqbal Hussain Rizuana³  Muhammad Hasif Azizi⁴  Xeng Inn Fam⁴ 

[1] Department of Oncology, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;Department of Pathology, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;Department of Radiology, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;Urology Unit, Department of Surgery, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;

关键词: testicular mass;    giant liposarcoma;    giant paratesticular liposarcoma;    paratesticular tumour;    dedifferentiated liposarcoma;    rhabdomyosarcoma;    radical orchidectomy;    laparoscopic;   

DOI  :  10.3389/fonc.2023.1216776

 received in 2023-05-04, accepted in 2023-07-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

Giant paratesticular liposarcoma is a rare presentation of paratesticular tumor. We present a case of the largest paratesticular liposarcoma described to date with a weight of 4,100 g and measuring 460 × 210 × 130 mm. It was initially mistaken as an inguinoscrotal hernia until a contrast-enhanced computed tomography (CECT) scan of the abdomen and pelvis revealed a huge left paratesticular tumor extending from the scrotum to the mid-abdomen. The challenge was to achieve a tumor-free margin orchidectomy due to the poor fat plane of the tumor to the external iliac artery, psoas muscle, descending colon, and anterior abdominal wall. The surgery was started with laparoscopic dissection for the intraabdominal part of tumor from the vital structure, then followed by inguinal radical orchidectomy and inguinal mesh repair. Postoperative histopathological report revealed a paratesticular dedifferentiated liposarcoma with rhabdomyosarcomatous differentiation with clear margin. The patient had good recovery post operation.

【 授权许可】

Unknown   
Copyright © 2023 Azizi, Rizuana, Wong, Sidek and Fam