The patient was a 47-year-old male, who visited Hidaka Hospital with a chie
f complaint of swelling in the right inguinal region and the scrotum. With
a diagnosis of a right spermatic cord tumor, right high orchiectomy was per
formed. Since an inflammatory type of malignant fibrous histiocytoma (MFH)
was diagnosed from histopathological findings, chemotherapy and radiation t
herapy were performed as postoperative treatment. Malignant fibrous histioc
ytoma with the primary focus of the spermatic cords is a rare disease. To o
ur knowledge, this is the 20th case of MFH of the spermatic cord in Japan (
the 42nd in the world) and it is the second case of inflammatory type of MF
H in Japan.