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Epididymal liposarcoma with metastases to the retroperitoneal space and peritoneal cavity: A case report and literature review / 中华男科学杂志
National Journal of Andrology ; (12): 1103-1106, 2017.
Article in Chinese | WPRIM | ID: wpr-812826
ABSTRACT
Objective@#To report a rare case of epididymal liposarcoma with multiple metastases to the retroperitoneal space and peritoneal cavity for the purpose of improving the diagnosis and treatment of the disease.@*METHODS@#We retrospectively analyzed the clinical data about a case of epididymal liposarcoma with multiple metastases to the retroperitoneal space and peritoneal cavity, reviewed relevant literature at home and abroad, and investigated the presentation, diagnosis and treatment of the disease.@*RESULTS@#A 47-year-old male patient with epididymal liposarcoma underwent radical left orchiectomy with high ligation of the spermmatic cord. Ten years later, recurrence and metastasis were observed in the retroperitoneal space with a mass of 15.6 × 9.4 × 25.5 cm occupying an area from the upper pole of the left kidney to the pelvic cavity and enclosing the left kidney and upper ureter, for which the patient received radical resection of the retroperitoneal tumor. However, multiple retroperitoneal and intraperitoneal metastases occurred again 4 years later, which was treated by another surgical resection. The patient died of lung failure a year later.@*CONCLUSIONS@#Epididymal liposarcoma is a rare entity, which can be diagnosed by careful clinical and radiological examinations and confirmed by pathology. For its treatment, radical inguinal orchiectomy should be performed as early as possible, but the roles of adjuvant radiotherapy and chemotherapy remain controversial. Given the high rate of recurrence and metastasis, long-term follow-up is necessitated for the patient postoperatively.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Peritoneal Cavity / Peritoneal Neoplasms / Retroperitoneal Neoplasms / Retroperitoneal Space / Orchiectomy / Epididymis / Genital Neoplasms, Male / Kidney / Liposarcoma Limits: Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Peritoneal Cavity / Peritoneal Neoplasms / Retroperitoneal Neoplasms / Retroperitoneal Space / Orchiectomy / Epididymis / Genital Neoplasms, Male / Kidney / Liposarcoma Limits: Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2017 Type: Article