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Title: 精索原発の脱分化型脂肪肉腫の1例
Other Titles: A Case of Dedifferentiated Liposarcoma of the Spermatic Cord
Authors: 髙岡, 直澄  KAKEN_name
小堀, 豪  KAKEN_name
恵, 謙  KAKEN_name
新村, 和也  KAKEN_name
長谷川, 匡  KAKEN_name
諸井, 誠司  KAKEN_name
Author's alias: Takaoka, Naoto
Kobori, Go
Megumi, Yuzuru
Shinmura, Kazuya
Hasegawa, Tadashi
Moroi, Seiji
Keywords: Spermatic cord
Dedifferentiated liposarcoma
Issue Date: 31-Dec-2019
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 65
Issue: 12
Start page: 529
End page: 532
Abstract: A74-year-old man was referred to the department of general surgery in our hospital because of a painless right scrotal swelling persisting for three months. On physical examination, the patient was found to have an inguinal hernia. The patient underwent laparoscopic transabdominal preperitoneal repair, but no inguinal hernia was detected. The patient was referred to our department for a suspected tumor of the spermatic cord. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a clearbordered and homogeneous mass without fat in the right spermatic cord. The findings from the imaging indicated that the mass was benign, but we suspected a malignant tumor because of the rapid enlargement. We performed a right high orchiectomy with a wide excision. Histopathological diagnosis was dedifferentiated liposarcoma with a myxofibrosarcoma-like pattern. He is alive one year after surgery with no recurrence. When a spermatic cord tumor is detected, we need to keep in mind the possibility of malignancy, because it is difficult to make a diagnosis from imaging alone.
Rights: 許諾条件により本文は2021/01/01に公開
DOI: 10.14989/ActaUrolJap_65_12_529
PubMed ID: 31933339
Appears in Collections:Vol.65 No.12

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