Neoplasms of the spermatic cord are rare. Seventy percent of extratesticular tumors are found in the spermatic cord, and lipoma is the commonest. Neoplasms of the testicular adnexae are rare and affect patients of all ages. Adenomatoid tumors are the most common tumors of the epididymis, followed by leiomyomas. Other benign tumors include fibroma, hemangioma, neurofibroma, and papillary cystadenoma. Malignant tumors are mostly sarcomas and include liposarcoma, rhabdomyosarcoma, lymphoma, fibrosarcoma, metastases, and rare tumors such as pleomorphic hyalinizing angiectatic tumor, malignant schwannoma, and malignant fibrous histiocytoma.