İntraskrotal ekstratestiküler liposarkom: Nadir bir olgu sunumu

Year 2016, Volume: 11 Issue: 2, 62 - 65, 01.05.2016

Mustafa Aldemir Kemal Ener Emrah Okulu Önder Kayıgil Huban Sibel Orhun Fatih Akdemir

Abstract

İntraskrotal, ekstratestiküler liposarkomlar oldukça nadir görülen tümörlerdir. Literatürde şimdiye kadar izole olgu sunumları şeklinde bildirilen, az sayıda vaka bulunmaktadır. Hastalar genellikle skrotal bölgede yavaş büyüyen, ağrısız, fıtık benzeri bir kitle ile başvurmaktadırlar. En uygun yaklaşım kitlenin cerrahi eksizyonudur. Adjuvan tedavi konusunda ise fikirbirliği bulunmamaktadır. Bu tümörlerin spermatik kord kaynaklı malignitelerden ayırtedilmesi gerekmektedir. Değişik alt tipleri olan skrotal liposarkomlar için standart bir tedavi yöntemi henüz bulunmamaktadır. Bu olgu sunumunda, skrotal kitle ile başvuran ve cerrahi eksizyon sonrası skrotal liposarkom saptanan 41 yaşındaki hasta, literatür bilgileri eşliğinde sunulmuştur

Keywords

skrotum , ekstratestiküler kitle , liposarkom

Intrascrotal extratesticular liposarcoma: A rare case report

Abstract

Intrascrotal, extratesticular liposarcomas are relatively rare tumors. There have been few cases reported as isolated case reports in the literature. The patients usually apply to the hospital with a hernia-like painless mass growing slowly in the scrotal region. The most appropriate approach is surgical excision of the mass. There is no accepted consensus on adjuvant therapy. These tumors need to be distinguished from other spermatic cord-related malignancies. There is no standard treatment method for scrotal liposarcomas that have several subtypes. In this case report, with a review of the literature, it was aimed to present the case of a 41-year-old patient who applied to our clinic with a scrotal mass and who was determined to have scrotal liposarcoma after surgical excision

Keywords

scrotum , extratesticular mass , liposarcoma

References

• Woodward PJ, Schwab CM, Sesterhenn IA. Extratesticular scrotal masses: Radiologic-pathologic correlation. Radio- graphics 2003;23:215-40.
• Maximilian B, JoachimT, Sebastian M. Lipo sarcoma of the spermatic cord: Report of two cases and review of the lit- erature. Int J Urol 2005;3.3.
• Rypens F, Garel L, Franc-Guimond J, et al. Paratesticular rhabdomyosarcoma presenting as thickening of the tunica vaginalis. Pediatr Radiol 2009;39:1010–2.
• Hashimoto H, Enjoii M. Liposarcoma: a clinicopathologic subtyping of 52 cases. Acta Pathol Jpn 1982;32:933-48.
• Cardenosa G, Papanicolaou N, Fung CY, et al. Spermatic cord sarcomas:sonographic and CT features. Urol Radiol 1990;12:163-7.
• Vázquez-Lavista LG, Pérez-Pruna C, Flores-Balcázar CH, et al. Spermatic cord liposarcoma: A diagnostic challenge. Hernia 2006;10:195-7.
• Bostwick DG. Spermatic cord and testicular adnexa.In: Bostwick DG, Eble JN, eds. Uro logic surgical pathology. St Louis,Mo:Mosby1997;647-74.
• Cramer BM, Schlegel EA, Thueroff JW. MR imaging in the differential diagnosis of scrotal and testicular disease. Ra- dioGraphics 1991;11:9-21.
• Christopher D, Unni K, Mertens F. Adipocytic tumors. In: WHO classification of tumors. Pathology and genetics: Tumors of soft tissue and bone. Lyon, France: IARC.2002. p.19-46.
• Korkes F, Castro MG, Romero FR, et al. Paratesticular sar- comas in Brazil. Urol Int2009;82:448-52.