PMC5301103_01
Ultrasonography revealed a heterogeneous and hyperechogenic mass with mixed echogenicity involving the right spermatic cord. This is highly suspicious of malignancy. a Inguinal area. b Scrotal area. The chest-abdominal CT scan showed a heterogeneous right supratesticular mass, essentially suety tissue, measuring 84 x 78 x 72 mm, without metastatic lesions. c Inguinal area. d Scrotal area.
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F1
This pattern was highly suspicious of malignancy (Fig. 1a, b). The chest-abdominopelvic computed tomography (CT) scan showed a heterogeneous right supratesticular mass, essentially suety tissue, that measured 84 x 78 x 72 mm (Fig. 1c, d), without metastatic lesion.
The spermatic cord was dissected and removed. a It showed a hard lipomatous mass that was 14 x 8 cm in size. The mass involved the entire circumference of the cord and could not be separated from the cord. b The mass had a "bunch of grapes" appearance and consisted of several masses of various sizes that surrounded the spermatic cord. c Macroscopic examination of the testis showed that it appeared to be normal. d Histopathological examination revealed a well-differentiated liposarcoma of the cord with positive margins; some lipoblasts with indented hyperchromatic nuclei were observed (haematoxylin-eosin staining; magnification x400).
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F2
The mass involved the entire circumference of the cord and could not be separated from the cord (Fig. 2a). Macroscopic examination of the testis showed that it appeared to be normal (Fig. 2b). The mass had a "bunch of grapes" appearance and consisted of several masses of various sizes that surrounded the spermatic cord (Fig. 2c). Histopathological examination revealed a well-differentiated liposarcoma of the cord with positive margins upon resection (Fig. 2d).