Microscopically, the tumor was a mucinous adenocarcinoma which had not invaded the testicle and epididymis, spermatic cord
margins were negtive.
Grey scale ultrasonography demonstrated non-compressed thrombosed tubular venous structure with increased wall thickness and focal diameter increase within the right spermatic cord
The spermatic cord
is compressed between the two hernia sacs (Figure 6).
14) Several variables that have been reported as prognostic factors include age, performance status, systemic symptoms, tumor burden >9 cm, spermatic cord
involvement, lactate dehydrogenase serum level, histologic grade, vascular invasion, degree of sclerosis, and stage of disease.
must be mobilized and atraumatically occluded before enucleation of the tumor.
Overall, sarcomas represent less than 2% of genitouninary tumours and 30% of them are located in the spermatic cord
Tunical fibromas are benign, painless tumors that arise most frequently from the tunica vaginalis, but they can arise from the tunica albuginea, the spermatic cord
, or even the testicular parenchyma in rare cases.
Patient was operated and a large retroperitoneal mass was resected; inguinal component of mass was found inseparable from the spermatic cord
and attached to left testis.
A 2-3 cm incision is made over the subinguinal spermatic cord
Epididymis, rete testis, spermatic cord
and tunica vaginalis are free of tuberculous involvement (Figure 2).
On gross pathological examination, specimen showed tumor replacing entire testis with involvement of rete testis, epididymis, and spermatic cord
Benign smooth muscle cell lesions are frequently found in a diversity of body organs, such as the breast, gastrointestinal tract, kidney, bladder, and skin (1), but they are extremely rare in the spermatic cord
or paratesticular tissue of the male genital tract.