Skip to Main content Skip to Navigation
Journal articles

Quelle prise en charge optimale pour un sarcome du cordon spermatique en 2018 ?

Abstract : Spermatic cord sarcomas are rare tumors for which the most important is the initial diagnostic procedure. They are frequently misdiagnosed after surgery for inguinal hernia, inguinal lymphadenectomy or testicular malignancy. Any clinical suspicion has to lead to perform imaging with MRI and a core needle biopsy in order to obtain an accurate preoperative diagnosis. Liposarcoma and leiomyosarcoma are the most common histological subtypes in elderly adults, rhabdomyosarcoma in children or in young adults. A CT scan will precede the treatment in order to look for distant metastasis and abdominal involvement. The therapeutic strategy as well as the surgical planning are then adapted to the histological, morphological and prognostic factors. Surgery is the cornerstone for the treatment of spermatic cord sarcoma. The minimum requirements for the surgical procedure are a wide excision of the tumor en bloc with radical orchidectomy, excision of the ipsilateral scrotum and high spermatic cord ligation. It could be enlarged to the anterior abdominal wall and adjacent organs some required a soft tissue flap. Spermatic cord sarcoma and trunk wall sarcoma have the same prognosis for which local recurrence could significantly decrease survival. Consequently, surgeon in charge with these tumors has to be familiar with soft tissue sarcoma and the management of these patients must be carried out under the supervision of a multidisciplinary team within the Netsarc network.
Document type :
Journal articles
Complete list of metadata

https://hal.umontpellier.fr/hal-02462346
Contributor : Accord Elsevier Ccsd Connect in order to contact the contributor
Submitted on : Thursday, October 21, 2021 - 5:40:49 PM
Last modification on : Wednesday, November 17, 2021 - 12:10:09 PM

File

S1166708718305591.pdf
Files produced by the author(s)

Licence


Distributed under a Creative Commons Attribution - NonCommercial 4.0 International License

Identifiers

Citation

S. Carrere, R. Tetreau, C. Honore, D. Tzanis, J.-B. Delhorme, et al.. Quelle prise en charge optimale pour un sarcome du cordon spermatique en 2018 ?. Progrès en Urologie, Elsevier Masson, 2019, 29 (1), pp.12-17. ⟨10.1016/j.purol.2018.09.010⟩. ⟨hal-02462346⟩

Share

Metrics

Record views

224

Files downloads

48