Scrotal myxofibrosarcoma of the spermatic cord presented as left scrotal swelling. The first case report in Ethiopia: a case report

Abstract

Myxofibrosarcoma of the spermatic cord is a rare form of para-testicular tumor that usually presents with painless scrotal or inguinal swelling. Ultrasonography revealed a solid mass in the scrotum, suggesting a para-testicular tumor, and exploration via a high inguinal incision revealed a large para-testicular mass. Finally, a pathologic examination revealed a low-grade sarcoma favoring myxoid fibrosarcoma. Here, we present the first reported case of myxofibrosarcoma of the spermatic cord in Ethiopia in a 54-year-old male patient and reviewed the available literature on the topic.

Keywords: Myxofibrosarcoma; Sarcoma; Scrotal; Spermatic cord.

Fig. 1

Showing a Para testicular mass with atrophic testicle and epididymis

Fig. 2

Showing hypercellular and hyper chromatic focus of the tumor under 20x magnifications

Fig. 3

Showing Hypocellular focus of the tumor under 4x magnification

Fig. 4

Showing tumor cells infiltrating adipocytes under 10x magnifications

Fig. 5

Showing some spindle to stellate cells under 100x magnifications

Fig. 6

Arrows showing pleomorphic cells under 200xmagnifications

Fig. 7

Showing hyper cellular spindle to stellate cells infiltrating adipocytes under 20X magnifications

Fig. 8

Arrows showing psuedolipoblasts under 40x magnifications