An Important Mimic of Inguinal Hernia

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• 作者：Ali Kord Valeshabad^a ; ^b ; Anne Walsh^c ; Granville L. Lloyd^d ; ^{granville.lloyd@ucdenver.edu" class="auth_mail" title="E-mail the corresponding author}
• 刊名：Urology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：97
• 期：Complete
• 页码：e11
• 全文大小：472 K

文摘

Spermatic cord malignancy is a rare and challenging diagnosis, often misdiagnosed as an inguinal hernia or cord lipoma. In these images, we show a 61-year-old male for whom laparoscopic repair of clinically diagnosed hernia was attempted. Laparoscopy revealed closed internal ring without hernia. Imaging showed large paratesticular mass; radical inguinal excision of testicle, cord, and mass was performed. Pathology showed mixed low-grade and high-grade sarcoma. Liposarcoma should be considered in cases of unusual inguinal mass; appropriate imaging can guide surgical approach and optimize outcomes.