Paratesticular Sarcoma: Typical Presentation, Imaging Features and Clinical Challenges.
Ap Dafydd, D
MetadataShow full item record
To describe the major imaging features, together with clinical data, of paratesticular sarcomas.A retrospective analysis was performed of available imaging and clinical data of 77 consecutive cases of paratesticular sarcoma referred to the soft tissue sarcoma centre at **BLINDED**, between January 2006 and January 2015.Of the total cases, 87% had been referred post-operatively, 43% of which had been imaged pre-operatively and 24% of which required re-resection due to incomplete initial excision. On imaging, abnormal fat was present in 73% of paratesticular liposarcomas, with solid/ enhancing components indicating high grade tumours. Leiomyosarcomas and rhabdomyosarcomas were all purely solid masses.Paratesticular sarcomas are rare and lack of awareness may compromise treatment and outcome. They may be mistaken for common clinical problems such as inguinal hernias and epididymal cysts. Surgery for these presumed diagnoses may result in inadequate clearance and an increased risk of recurrence. A low threshold for imaging atypical paratesticular masses is needed, as this may better inform management.
Version of record
License start date