Malignant fibrous histiocytoma (MFH) is a morphologically ill-defined tumour of
the soft tissues and may involve nearly every organ of the body. MFH of the
spermatic cord represents an extremely rare entity and reports of it in the literature
are limited. We report a 69-year-old man found to have a left spermatic
cord MFH and retroperitoneal and mediastinal lymphadenopathy, who was treated
with radical orchiectomy and adjuvant chemotherapy. The morphological
findings of the spermatic tumour are presented and the literature is reviewed to
clarify the potential diagnostic/therapeutic approaches and the prognosis related
to spermatic cord MFH
