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[一例精索血管外皮细胞瘤]

[A case of haemangiopericytoma of the spermatic cord].

作者信息

Satoh Hiroyuki, Yosioka Kunihiro, Nakamura Sou, Morinaga Shoujiro

机构信息

Department of Urology, Tokyo Saiseikai Central Hospital.

出版信息

Nihon Hinyokika Gakkai Zasshi. 2003 Nov;94(7):689-92. doi: 10.5980/jpnjurol1989.94.689.

Abstract

A case of haemangiopericytoma of right spermatic cord is reported. A 50-year old male presented with a month-lasting painless swelling of right scrotum. Ultrasonography revealed a soft tissue mass in right spermatic cord, which was about 3.5 cm in diameter. Right high inguinal orchiectomy was performed. The tumor was solid, smooth surfaced and well circumscribed. Histologically, the tumor had many capillary vessels and short spindle calls around the vessels. On the silver impregnation, argyrophil fibers surrounded the tumor cells. Immunohistologically, tumor cells were positive for CD34 antigen and negative for factor VIII antigen. The mitotic rate was 2 per highpower field. Accordingly, this tumor was diagnosed as benign haemangiopericytoma. The patient is doing well without any sign of recurrence, as of 30 months post-operatively. Haemangiopericytoma is a rare neoplasm of pericyte origin. It commonly occurs in retroperitoneum and lower extremities. To our knowledge, only two cases of malignant haemangiopericytoma of the spermatic cord was reported, and this case is the first benign case of the spermatic cord.

摘要

报告1例右侧精索血管外皮细胞瘤。一名50岁男性,右侧阴囊出现持续1个月的无痛性肿胀。超声检查显示右侧精索有一软组织肿块,直径约3.5厘米。行右侧高位腹股沟睾丸切除术。肿瘤质地坚实,表面光滑,边界清晰。组织学检查显示,肿瘤有许多毛细血管,血管周围有短梭形细胞。银染色显示,嗜银纤维围绕肿瘤细胞。免疫组织化学检查显示,肿瘤细胞CD34抗原阳性,因子VIII抗原阴性。每高倍视野有2个核分裂象。因此,该肿瘤被诊断为良性血管外皮细胞瘤。截至术后30个月,患者情况良好,无任何复发迹象。血管外皮细胞瘤是一种罕见的周细胞起源肿瘤。它常见于腹膜后和下肢。据我们所知,仅报告过2例精索恶性血管外皮细胞瘤,而本例是精索良性血管外皮细胞瘤的首例。

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