An 80-year-old man presented with a rapidly increasing swelling in the left inguinoscrotal region of three months' duration and a lump on the same side of lower abdomen, since two months.
On examination, the patient had hard, immobile, retroperitoneal lump continuous with left cord structures. Computerised tomographic (CT) scan showed a well defined inguinoscrotal mass of mixed density (soft tissue and fat attenuation) extending into pelvis and left side of retroperitoneum upto the lower pole of the left kidney, without associated lymphadenopathy. The diagnosis was liposarcoma of spermatic cord with extension into retroperitoneum. Search for metastases in lungs and liver did not reveal any.
