DOI: 10.21276/sasjs.2018.4.4.2

Pages: 69-71

Primitive scrotal liposarcomas have been previously described, usually in the absence of an inguinal hernia but sometimes in the presence of a hernia. A 47-year-old man was referred to our hospital with the chief complaint of a painless right scrotal swelling and mass slowly growing since 2 months. A gross mass was palpable which was suspected of hernia, and under this mass there was right testis .On ultrasonography (US), the mass was capsulated, solid and heterogeneous with hypo-echoic nodule. Diagnosis of lipoma or liposarcoma was suggested and therefore, a right radical orchiectomy after high ligation of spermatic cord was performed followed by adjuvant wide excision of the hemiscrotum including inguinal soft tissues and nodes. Postoperative period was unremarkable. The patient is well and with no evidence of recurrence 2 years after the operation