Paratesticular Liposarcoma Mimicking Inguinal Hernia: a Case Report

Paratesticular tumors account for approximately 5% of intrascrotal mass, and mostly they arise from the spermatic cord (75%). Here, we report a paratesticular mass having a misleading presentation of irreducible inguinal hernia. A 54-year-male patient presented with complaint of right inguino-scrotal swelling for 5 years. Serum tumor markers were within normal limits. Ultrasound of scrotum reveals inguino-scrotal hernia with omental fat and bowel loop herniating out. Patient underwent right inguinal exploration with high inguinal orchidectomy. Histopathology revealed paratesticular high-grade spindle cell sarcoma, and immunohistochemistry was suggestive of paratesticular liposarcoma.