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Malignant Neoplasm of the Spermatic Cord


Presentation

  • The diagnosis, histological classification, treatment and prognosis of this case are presented, together with a review of the literature.[ncbi.nlm.nih.gov]
Mediastinal Lymphadenopathy
  • We report a 69-year-old man found to have a left spermatic cord MFH and retroperitoneal and mediastinal lymphadenopathy, who was treated with radical orchiectomy and adjuvant chemotherapy.[ncbi.nlm.nih.gov]
Inguinal Hernia
  • Incarcerated inguinal hernia is a common surgical indication in the emergency room. Delayed diagnosis can result in ischemic bowel or bowel perforation.[ncbi.nlm.nih.gov]
Swelling
  • A 65-year-old man presented with a swelling in the right groin of 6 months duration. The swelling was associated with dull aching pain and the patient reported of increase in size of the swelling during lifting of heavy weights.[ncbi.nlm.nih.gov]
Inguinal Mass
  • We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia.[ncbi.nlm.nih.gov]
Inguinal Mass
  • We report the case in a 72-year-old man who presented with a right inguinal mass and with a one month history that was initially interpreted as an inguinal hernia.[ncbi.nlm.nih.gov]
Soft Tissue Mass
  • We present CEUS findings of 2 concurrent soft tissue masses in 1 patient: a spermatic cord well-differentiated liposarcoma and a retroperitoneal dedifferentiated liposarcoma.[ncbi.nlm.nih.gov]
  • Most of the time, they are well defined and appear to be soft tissue masses.[ajandrology.com]
  • A scrotal ultrasound indicated a left hemiscrotal vascular soft tissue mass. Computed tomography (CT) demonstrated a fat-containing mass with nodular enhancement in the anterior medial aspect of the left hemiscrotum ( Figure 1a ; Figure 1b ).[urotoday.com]
Pleural Effusion
  • Surprisingly, a chest radiograph revealed a mass in his left lung with ipsilateral pleural effusion.[ncbi.nlm.nih.gov]
Suggestibility
  • We report a patient with myxoid liposarcoma of the spermatic cord in whom combined use of both ultrasound (US) and MRI helped to suggest the diagnosis. The lesion was solid at US and vascularized at color Doppler.[ncbi.nlm.nih.gov]
Impulsivity
  • The swelling was 6 5 cm, hard in consistency, mobile and there was no impulse of cough. Ultrasonography showed a solid mass measuring 5.3 1.5 5.2 cm arising from the spermatic cord. High-inguinal orchiectomy was performed.[ncbi.nlm.nih.gov]
  • Physical examination revealed a well-circumscribed, hard, non-reducible swelling palpable along the medial extent of the inguinal canal with no cough impulse. Fine-needle aspiration cytology suggested metastatic carcinoma.[casereports.bmj.com]
Scrotal Mass
  • A 77-year-old man presented with a 5 month history of an enlarging right inguino-scrotal mass. On physical exam, the mass involved the spermatic cord.[ncbi.nlm.nih.gov]
Scrotal Mass
  • A 77-year-old man presented with a 5 month history of an enlarging right inguino-scrotal mass. On physical exam, the mass involved the spermatic cord.[ncbi.nlm.nih.gov]
Testicular Mass
  • Pathology of the testicular mass was reviewed.[ncbi.nlm.nih.gov]
  • The most common clinical form of presentation was a painless testicular mass. The a-fetoprotein levels were high in 5 patients (yolk-sac tumors and embryonal carcinomas).[dialnet.unirioja.es]
Swelling of the Scrotum
  • Check for any swelling on the scrotum skin. Examine each testicle with both hands. Place the index and middle fingers under the testicle with the thumbs placed on top. Roll the testicle gently between the thumbs and fingers.[washington.edu]
Urethral Bleeding
  • The first concerns a 92-year-old female patient who came to our attention for recurrent urethral bleeding, which was initially believed to be secondary to urethral mucosal ectropion. Pathology demonstrated a RCC metastasis.[ncbi.nlm.nih.gov]

Workup

  • This report highlights the rare presentation and workup of an inguinal mass, importance of intraoperative decision making based on operative findings and the significance of postoperative pathology findings.[ncbi.nlm.nih.gov]
Mediastinal Mass
  • Computed tomography revealed a 1.5-cm, round-shaped anterior mediastinal mass. A thymectomy was performed and the diagnosis of metastatic leiomyosarcoma was made.[ncbi.nlm.nih.gov]
Anterior Mediastinal Mass
  • Computed tomography revealed a 1.5-cm, round-shaped anterior mediastinal mass. A thymectomy was performed and the diagnosis of metastatic leiomyosarcoma was made.[ncbi.nlm.nih.gov]
Pleural Effusion
  • Surprisingly, a chest radiograph revealed a mass in his left lung with ipsilateral pleural effusion.[ncbi.nlm.nih.gov]

Treatment

  • A review of the literature about the role of adjuvant treatments is also discussed. A 59-year-old man presented a right testicular mass of about 4 3 cm in size.[ncbi.nlm.nih.gov]

Prognosis

  • Although the prognosis of patients with metastatic adenocarcinoma of the spermatic cord is typically poor, the prognosis of our patients was favorable after follow-up for 14 to 18 months.[ncbi.nlm.nih.gov]

Etiology

  • The etiology, differential diagnosis, and management alternatives are discussed.[ncbi.nlm.nih.gov]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Etiology Benign spermatic cord lipoma (most common paratesticular mass) 3 adenomatoid tumor (most common epididymal mass) 2,3 epididymal leiomyoma epidermoid inclusion cyst epididymal papillary cystadenoma (associated with von Hippel Lindau disease )[radiopaedia.org]
  • State Published - Dec 1996 Externally published Yes Cite this Apa Standard Harvard Vancouver BIBTEX RIS Staiman, VR, O'Toole, KM, Rubin, MA & Lowe, FC 1996, ' Giant malignant fibrous histiocytoma of the testis/spermatic cord: Psychologic and possible etiologic[einstein.pure.elsevier.com]
  • Etiology Spermatic cord disease Malignant tumors can also damage the structure and function of tissues, organs, necrotic hemorrhage, and the patient may eventually die due to organ failure.[healthfrom.com]

Epidemiology

  • The literature search used the following terms: epidemiology , surgery , chemotherapy , radiotherapy , testis sparing surgery, spermatic cord sarcomas/ liposarcomas.[ncbi.nlm.nih.gov]
  • Conclusions Testicular and paratesticular tumors in prepubertal children show epidemiological, histological, therapeutical and evolutional characteristics well differentiated from postpubertal or adult subjects.[dialnet.unirioja.es]
Sex distribution
Age distribution

Pathophysiology

  • Definition / general Malignant mesenchymal tumor with smooth muscle differentiation Pathophysiology Hypothesized to arise from cremasteric muscle, vas deferens or contractile cells of other structures such as tunica or blood vessels ( Urology 2002;60:[pathologyoutlines.com]

Prevention

  • Radical orchiectomy with high cord ligation is the treatment of choice to prevent local recurrence.[ncbi.nlm.nih.gov]
  • Prevention Prevention of spermatic cord cancer 1.[healthfrom.com]
  • The tumor arises in the spermatic cord as a mass The cause of formation of the tumor is unknown and currently, no known methods exist to prevent occurrence of the tumor Most small tumors are asymptomatic, though the larger ones may compress the surrounding[dovemed.com]
  • Subik MK, Gordetsky J, Yao JL et al (2012) Frozen section assesment in testicular and paratesticular lesions suspicious for malignancy: its role in preventing unnecessary orchiectomy. Hum Pathol 43:1514–1519 PubMed CrossRef Google Scholar 25.[doi.org]

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