Liposarcoma of spermatic cord

Liposarcoma of the spermatic cord is rare. It originates in the spermatic cord adipose tissue and is composed of adipose cells, fibroblasts, and myxomatous cells. Liposarcomas usually occur in patients older than 40 years. The differential diagnosis is not easy and liposarcomas are often mistaken for incarcerated hernia. Ultrasound is useful for differentiation from cystic or solid lesions. Often, the nature of the mass is recognized only at surgery. Radical orchiectomy with high cord ligation is the treatment of choice. Hematogenous or lymphatic spread is usually a late event in high grade tumors. To the best of our knowledge, in literature, approximately 200 cases have been described. A case of dedifferentiated liposarcoma of spermatic cord is reported.