Samenvatting
Het liposarcoom in het scrotum is een zeldzame aandoening. Aanbevelingen voor diagnostiek en behandeling zijn veelal gebaseerd op case reports en expert opinions. Tijdige diagnose en adequate behandeling maken de ziekte lokaal controleerbaar en vergroten de kans op curatie. Chirurgische resectie is de hoeksteen van de behandeling. Bij goed gedifferentieerde liposarcomen van het scrotum kan worden volstaan met radicale resectie met beperkte marges. Deze liposarcomen metastaseren niet, maar hebben een grote kans op lokaal recidief. De follow-up moet dan ook hierop gericht zijn. Adjuvante radiotherapie verlaagt mogelijk de kans op een lokaal recidief zonder effect op de overall survival.
Summary
Liposarcoma of the scrotum
The liposarcoma of the scrotum is a rare condition. Recommendations regarding diagnostics and treatment are mostly based upon case reports and expert opinions. Early diagnosis and accurate treatment benefit local control and increase the chance of curation. Surgical resection is the mainstay of treatment. In low grade liposarcomas of the scrotum a radical resection with limited margins is sufficient. These liposarcomas do not metastasize, but have a high incidence of local recurrence. Therefore, the follow up should be aimed at early detection of local recurrence. Adjuvant radiotherapy probably reduces the risk of local recurrence without having an effect on overall survival.
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* drs. A.F. Albersen, aios urologie, Academisch Medisch Centrum, Amsterdam
drs. R.A. van Dijk, aios radiologie, Academisch Medisch Centrum, Amsterdam
dr. E.J.T. Krul, radioloog, Onze Lieve Vrouwe Gasthuis, Amsterdam
drs. E.A. Heldeweg, uroloog, Sint Lucas Andreas Ziekenhuis, Amsterdam
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Albersen, A., van Dijk, R., Krul, E. et al. Case report. Liposarcoom van het scrotum. Tijdschrift voor Urologie 5, 58–61 (2015). https://doi.org/10.1007/s13629-015-0015-1
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DOI: https://doi.org/10.1007/s13629-015-0015-1