摘出後局所再発をきたした精索脂肪肉腫の１例

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  • Liposarcoma of the Spermatic Cord with Local Recurrence. A Case Report.

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We report a case of liposarcoma arisen from the spermatic cord with local recurrence. A 70-year-old man noticed a right inguinal swelling 3 years after an operation for right direct inguinal hernia. Under a diagnosis of recurrence of inguinal hernia, an operation was performed. However, there was a lipoma-like tumor instead of hernia sac, and so the tumor with the right testis was resected. Pathological examination of the tumor was liposarcoma. Although radiation therapy was added after the operation, local recurrence occurred. Surgical resection of the tumor with a sufficient safety margin and reconstruction of the abdominal wall by mesh-sheet were performed. Histologically recurrence of liposarcoma was confirmed.<br> Liposarcoma of spermatic cord is a rare clinical entity and accounts for 4_??_7% of all liposarcomas. Pathological examination is necessary for the diagnosis. The most effective therapy for the tumor is surgical resection. Extensive resection and strict follow-up are important because of its high frequency of local recurrence.

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