[睾丸鞘膜多囊性间皮瘤]
[Multicystic mesothelioma of the testicular tunica vaginalis].
作者信息
Rosales Leal José Luis, Tallada Buñuel Miguel, Espejo Maldonado Eduardo, Cózar Olmo José Manuel, Vicente Prados Francisco Javier, Martínez Morcillo Antonio, Buitragosivianes Soledad, Rodríguez Herrera Francisco, Ortiz Gorráiz Manuel, Zilbermman Morales Sonia, Chamorro Santos Clara
机构信息
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Avenida de las Fuerzas Armadas, no. 2, 18014 Granada, España.
出版信息
Arch Esp Urol. 2003 Dec;56(10):1154-7.
OBJECTIVES
To report an exceptional case of multicystic mesothelioma of the testicular tunica vaginalis.
METHODS
A 72-year-old male was referred for study of a scrotal mass. Physical examination, blood tests, and ultrasound were performed prior to surgical excision and pathologic study of the lesion.
RESULTS
The ultrasound study showed a multilobar cystic lesion near the spermatic cord. Pathology reported multiple 3-4 mm cystic formations, with rudimentary papillae covered by a hyperchromatic epithelium and vimentin (+), CD 34 (+) immunophenotype.
CONCLUSIONS
Multicystic mesothelioma is a rare form of mesothelioma, easy to recognize but infrequent. This tumor generally affects the peritoneal surface of the pelvis and abdomen; although other less frequent locations have been described testicular location is exceptional. We report the case of a patient presenting with a multicystic mesothelioma of the testicular tunica vaginalis and review the diagnosis, pathology and treatment options for this type of tumor.
目的
报告一例睾丸鞘膜多囊性间皮瘤的罕见病例。
方法
一名72岁男性因阴囊肿物前来就诊。在对病变进行手术切除和病理研究之前，进行了体格检查、血液检查和超声检查。
结果
超声检查显示精索附近有一个多叶囊性病变。病理报告显示有多个3 - 4毫米的囊性结构，有被深染上皮覆盖的原始乳头，波形蛋白（+），CD 34（+）免疫表型。
结论
多囊性间皮瘤是间皮瘤的一种罕见形式，易于识别但并不常见。这种肿瘤通常累及盆腔和腹部的腹膜表面；尽管也有其他较少见的发病部位被描述，但睾丸部位的发病极为罕见。我们报告了一例患有睾丸鞘膜多囊性间皮瘤的患者病例，并回顾了此类肿瘤的诊断、病理及治疗选择。
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