Abstract
Five patients with sarcomas of the spermatic cord were imaged with sonography and/or computed tomography (CT). The former modality is most helpful in demonstrating the extratesticular origin of the mass and evaluating its scrotal extension for local staging. CT is necessary for pelvic staging and searching for distant metastasis. The fat in liposarcomas was easily identified by CT, although it was not echogenic on sonography. Sonography should be the primary imaging modality for scrotal or inguinal masses. If a neoplasm is found, CT should be used for staging, prior to definitive surgical treatment.
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References
Arlen M, Grabstald H, Whitmore W: Malignant tumors of the spermatic cord.Cancer 23:525–532, 1969
Malek R, Utz D, Farrow G: Malignant tumors of the spermatic cord.Cancer 29:1108–1113, 1972
Blitzer P, Dosoretz D, Proppe K, Shipley W: Treatment of malignant tumors of the spermatic cord: A study of 10 cases and a review of the literature.J Urol 126:611–614, 1981
Banowsky L, Shultz G: Sarcoma of the spermatic cord and tunics: Review of the literature, case report and discussion of the role of retroperitoneal lymph node dissection.J Urol 103:628–631, 1970
Gould L, Klein K, Patel N: Ultrasound evaluation of a spermatic cord myxoliposarcoma.N J Med 76:203–205, 1979
Wheatley K: Malignant fibrous histiocytoma of the spermatic cord.J Comput Assist Tomogr 6:1035, 1982
Nativ O, Graif M, Goldwasser B,et al.: Rhabdomyosarcoma of the cord: Ultrasonic evaluation.Urol Radiol 5:131–132, 1983
Gooding G: Sonography of the spermatic cord.AJR 151:721–724, 1988
Zwanger-Mendelsohn S, Shreck EH, Doshi V: Burkitt lymphoma involving the epididymis and spermatic cord: Sonographic and CT findings.AJR 153:85–86, 1986
Haller J, Tscholakoff C, Gundry G,et al.: Sonography of unusual extratesticular lesions.Urol Radiol 11:190–193, 1989
Enzinger FM, Weiss SW:Soft Tissue Tumors, 2nd ed. Hanover, MD: CV Mosby, 1988, pp 346–383
Cronan JJ, Yoder IC, Amis ES Jr, Pfister RC: The myth of the anechoic renal sinus fat.Radiology 144:149–152, 1982
Rosenfield AT, Taylor KJW, Jaffe CC: Clinical applications of ultrasound tissue characterization.Radiol Clin North Am 18:31–58, 1980
Longbotham JH, Joyce RP: Retroperitoneal liposarcoma presenting as spermatic cord tumor.Urology 30:276–280, 1987
Baker LL, Hajek PC, Burkhard TK,et al.: MR imaging of the scrotum: Normal anatomy.Radiology 163:89–92, 1987
Baker LL, Hajek PC, Burkhard TK,et al.: MR imaging of the scrotum: Pathologic conditions.Radiology 163:93–98, 1987
Rholl KS, Lee JKT, Ling D, Heiken JD, Glazer HS: MR imaging of the scrotum with a high resolution surface coil.Radiology 163:99–103, 1987
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Cardenosa, G., Papanicolaou, N., Fung, C.Y. et al. Spermatic cord sarcomas: Sonographic and CT features. Urol Radiol 12, 163–167 (1990). https://doi.org/10.1007/BF02923999
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DOI: https://doi.org/10.1007/BF02923999