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Successful management of 30 kg Gigantic para-testicular liposarcoma
We report the successful management of a paratesticular liposarcoma, which, to the best of our knowledge, is the largest known of its type. A 62-year-old male presented with a painless, gradually progressive left testicular “giant” mass measuring 60 × 40 cm, weighing 30 kg and growing over a perio...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philipps-Universität Marburg
2023
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| Subjects: | |
| Online Access: | PDF Full Text |
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| Summary: | We report the successful management of a paratesticular liposarcoma, which, to the best of our knowledge, is the
largest known of its type. A 62-year-old male presented with a painless, gradually progressive left testicular “giant”
mass measuring 60 × 40 cm, weighing 30 kg and growing over a period of three 3 years. Additionally, a 5 × 5 cm
trophic ulcer could be seen at the bottom of the scrotum. The ultrasound of the left testis revealed the testis
having been completely replaced with a cystic and solid tumour. Preoperative serum testicular tumour markers
(STM) were within normal limits. The markers included Alpha Feto Protein, Beta Human Chorionic Gonadotropin
and Lactose Dehydrogenase. A left sided high inguino-scrotal approach with a huge skin resection including the
trophic ulcer with complete removal of the tumour and a primary complex closure of the wound was performed.
The post-operative period was uneventful, and histopathology revealed a dedifferentiated liposarcoma. We believe
social taboo and fear of disfigurement impart a sense of shame in patients which led to the delayed presentation
in a hospital in the index patient. The absence of metastases even with a protracted course is surprising. |
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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.1186/s12894-023-01236-3 |