Myxoid Liposarcoma of the Spermatic Cord with Multiple Distant Metastasis

ABSTRACT

Myxoid liposarcoma of the spermatic cord (MLSC) is a rare variant of spermatic sarcoma. Typically, it presents during the sixth decade of life as a painless scrotal or inguinal mass. Although local recurrences are not uncommon, prognosis following complete tumor removal is good because metastases are rare. Although myxoid liposarcoma is common elsewhere in the body, less than 20 cases have been described in the spermatic cord. Distant metastasis with MLSC (e.g., bone, liver, lung) is extremely rare, and no cases have been reported in the English literature. We report one case of MLSC with multiple bone, liver and peritoneal metastasis, incidentally found during inguinal hernia repair.