AN INTERESTING CASE OF SCROTAL SWELLING

Abstract

Paratesticularliposarcomas are extremely rare malignant tumours which account for approximately 3-7 of all paratesticular sarcomas. They are clinically indistinguishable from testicular tumours, which thus result in difficulty in           diagnosis and management. We present a case of rare para testicular tumour with inguinal hernia who on process of evaluation developed features of obstruction which is very rare and emergency exploration done high inguinal                 orchidectomy with herniorrhaphydone. post op biopsy showed well differentiated liposarcoma from spermatic cord.. The inguinal radical orchidectomy with wide resection margin is the standard approach for sarcomas of the spermatic cord.. Since HPE report well differentiated liposarcoma, further treatment deferred.Surgery remains mainstay treatment when diagnosedsuspected pre operatively , radical orchidectomy with wide local excision is recommended Regardless of initial therapy, risk of local recurrence and subsequent increase in grade always necessitate long term follow-up Our patient is in

regular follow up