Köseoğlu V, Akata D, Kutluk T, Yalçin B, Arat A, Sökmensüer C, Büyükpamukçu M
Department of Pediatric Oncology, Hacettepe University, Institute of Oncology, Ankara, Turkey.
J Clin Ultrasound. 1999 Jun;27(5):287-9. doi: 10.1002/(sici)1097-0096(199906)27:5<287::aid-jcu10>3.0.co;2-s.
We report a case of neuroblastoma in a patient who had no involvement of the spermatic cord at diagnosis but who developed spermatic cord metastasis 2 months later. The metastasis appeared on sonography as a hypoechoic, highly vascular, fusiform, hard, 14x10x7 mm mass located in the right inguinal canal and extending into the scrotum. The diagnosis of spermatic cord metastasis was confirmed by resection and histopathologic examination. We recommend that the scrotum and spermatic cord be evaluated by high-resolution sonography in children with neuroblastoma, both at the time of diagnosis and during follow-up.
我们报告了一例神经母细胞瘤患者，该患者诊断时精索未受累，但2个月后出现精索转移。转移灶在超声检查中表现为位于右侧腹股沟管并延伸至阴囊的低回声、高血管化、梭形、坚硬的14×10×7mm肿块。通过切除和组织病理学检查确诊为精索转移。我们建议对神经母细胞瘤患儿在诊断时和随访期间均采用高分辨率超声对阴囊和精索进行评估。
