Abe Kazuhiro, Kato Nobuki, Miki Kenta, Nimura Satoshi, Suzuki Masafumi, Kiyota Hiroshi, Onodera Shyoichi, Oishi Yukihiko
Department of Urology, Jikei University School of Medicine, Tokyo, Japan.
Int J Urol. 2002 Oct;9(10):602-3. doi: 10.1046/j.1442-2042.2002.00521.x.
We report here a case with malignant mesothelioma of testicular tunica vaginalis. An 81-year-old Japanese man with left hydrocele was referred for operation. When hydrocelectomy was performed, a thick wall of tunica vaginalis without malignancy was observed. Seven months after hydrocelectomy, a hard irregular mass was noticed in the left scrotum, therefore inguinal orchiectomy was performed. Pathologically, the mass showed severe atypia and mitosis. The diagnosis of malignant mesothelioma was made. He refused any adjuvant treatment and died 1 year later from multiple metastases to the paraaortic lymph nodes and lumbar supine.
我们在此报告一例睾丸鞘膜恶性间皮瘤病例。一名81岁的日本男性因左侧鞘膜积液前来接受手术。在进行鞘膜积液切除术时，观察到鞘膜壁增厚但无恶性病变。鞘膜积液切除术后七个月，左侧阴囊发现一个坚硬不规则肿块，因此进行了腹股沟睾丸切除术。病理检查显示，该肿块具有严重异型性和核分裂象。诊断为恶性间皮瘤。他拒绝任何辅助治疗，1年后因腹主动脉旁淋巴结和腰椎多发转移而死亡。
