%0 Case Reports
%T Paratesticular Liposarcoma Presenting as an Inguinal Swelling: A Diagnostic Conundrum.
%A Fakih KA
%A Solanki AU
%A Iyer S
%A Menon S
%A Solanki R
%J Cureus
%V 16
%N 6
%D 2024 Jun
%M 39011191
暂无%R 10.7759/cureus.62404
%X Paratesticular tumours are rare malignancies that are frequently misdiagnosed on presentation. We present a case of an elderly male with a six-month history of painless, progressively increasing left inguinal swelling. On preliminary examination and investigation, the swelling was misdiagnosed as a lymph nodal mass. Subsequently, a magnetic resonance imaging study detected a lesion that was not distinct from the spermatic cord. Biopsy testing of the said lesion was suggestive of poorly differentiated spindle cell neoplasm. The patient then underwent a high inguinal orchidectomy. Histopathological examination confirmed the diagnosis of a high-grade paratesticular dedifferentiated liposarcoma with rhabdomyoblastic differentiation. Due to the rarity of such tumours, the need for adjuvant chemotherapy and radiotherapy is debated.