Sarcomas of the Spermatic Cord and Para-Testicular Tissues: Our Experience and Review of Current Literature

Sarcomas of the spermatic cord and para-testicular tissues are an uncommon cause of lumps in the groin or scrotum. The diagnosis is frequently not suspected prior to surgical exploration and excision. The aim of this review is to increase awareness of the diagnosis of spermatic cord sarcoma by presenting four cases which demonstrate some of the pitfalls in diagnosis and delay appropriate management. The take-home message is that spermatic cord sarcoma should be suspected in any patient presenting with an unusual groin or scrotal lump, and early referral to a specialist sarcoma unit is paramount for definitive management.