Spermatic cord sarcoma in adults

The cases of 16 adult patients with spermatic cord sarcoma were retrospecti vely reviewed. Patient ages had a bimodal distribution (median 57.5 years). Presentation was scrotal mass, inguinal mass or both. with an average diam eter of 6.7 cm. Radical orchiectomy was performed in 9 patients, and simple tumorectomy in 7. Lymph node dissection was performed in 6 patients, inclu ding retroperitoneal dissection in 4 patients. Various types of soft tissue sarcomas were found. Embryonal rhabdomyosarcomas were evident only in youn g patients. Lymph node metastases were found in ? out of 6 cases. Testicula r atrophy was observed in 3 young patients, germline destruction by the tum or in 2. and partial spermatogenesis in 2 patients. The median time to firs t relapse in 13 patients was 5.5 months. Surgery was the primary treatment and the best salvage modality. The role of chemotherapy and radiation thera py as true adjuvant or post-salvage-surgery adjunctive treatments remains u nclear.