Lipossarcoma do Cordão Espermático

Introduction: Spermatic cord liposarcomas are rare diseases, with only a few reported studies published. In this study we present 2 clinical cases of spermatic cord liposarcoma. Case Report: Case 1: A 76-years-old man was evaluated for a painless left inguinal mass. Imaging studies demonstrated a solid mass, of 38 x 31 cm, located in the left inguinal region. Case 2: A 55-years-old men, evaluated for a painless left scrotal mass, with imaging studies demonstrating a solid lesion of 28 x 27 mm near the left testicle. Both patients underwent left radical orchiectomy, with wide local excision. Histological examination revealed liposarcoma in both situations and the patients performed adjuvant radiotherapy. The patients remain free of disease during follow-up, of eight years in case 1 and four years in the case 2. Conclusion: The recommended treatment of spermatic cord liposarcomas is radical orchiectomy with wide local excision. Adjuvant radiotherapy can reduce de incidence of local recurrence. Considering the recurrence probability, a long follow- up period is recommended for these patients.