PMC7596807_01
Recurrent inguinal low grade fibromyxoid sarcoma involving scrotum in a 38-year-old patient.
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He missed his follow-up in 2009, only returning in 2017 with a large bulge in the left inguinal region, bigger than primary tumor, involving the scrotum with signs of tissue necrosis and local purulent discharge ( Figure 1).
Magnetic resonance imaging.. 
A) Cross section revealing inseparable inguinal mass with structures of the scrotum.
B) Sagittal section showing the relationship between the tumor mass and the adductor musculature of the left thigh.
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Aspect after resection of inguinal low grade fibromyxoid sarcoma involving the scrotum.
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The patient underwent tumor resection in the left inguinal region and the entire scrotum, with bilateral orchiectomy, with the margins enlarged to the right inguinal region and proximal surface of the penis, this stage of the surgery being performed by the urology team ( Figure 3).
Aspect after reconstruction.
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Local reconstruction was performed by the plastic surgery team, with a left fascia lata tensor muscle flap and ipsilateral thigh coverage using partial skin graft ( Figure 4).
Histological image of the low grade fibromyxoid sarcoma showing an admixture of collagenized and hypocellular myxoid zones with arcades of small vessels.
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Arcades of small vessels with perivascular sclerosis were seen ( Figure 5).