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[睾丸旁横纹肌肉瘤。病例报告]

[Paratesticular rhabdomyosarcoma. A case report].

作者信息

Radouane B, El Fenni J, Chaouir S, Amil T, Hanine A, Ben Ameur M

机构信息

Service d'Imagerie Médicale, Hôpital militaire d'instruction Med V, Rabat, Maroc.

出版信息

J Radiol. 2004 Jun;85(6 Pt 1):779-81. doi: 10.1016/s0221-0363(04)97683-4.

Abstract

The rhabdomyosarcomas are rare tumors of mesenchymal tIssue. Whose most frequent localisations are génito-urinary, and occur in the child and young adult. It's an intrascrotal tumour, localised in the tunica vaginalis, epididymis or spermatic cord. The Authors report a case of paratesticular rhabdomyosarcoma in a 15 Year old child, who presented a right painless scrotal mass since two Months. The research of the tumoral markers is negative. Scrotal ultrasound shows a tissular mass in spermatic cord. Abdominal ultrasound and CT show retroperitoneal lymph node mass. Chest X-ray is normal. The intervention consists of a right castration. The histological examination of the spiceman confirms the diagnosis of the paratesticular rhabdomyosarcoma of the spermatic cord. The patient is treated by chemotherapy without improvement. Through this observation, the Authors underline the interest of the imagery and the aspects of the paratesticular tumours in ultrasound and CT.

摘要

横纹肌肉瘤是间叶组织的罕见肿瘤。其最常见的发病部位是泌尿生殖系统,多发生于儿童和青年成人。这是一种位于鞘膜、附睾或精索的阴囊内肿瘤。作者报告了一例15岁儿童的睾丸旁横纹肌肉瘤病例,该患儿两个月来右侧阴囊有无痛性肿块。肿瘤标志物检查为阴性。阴囊超声显示精索有组织肿块。腹部超声和CT显示腹膜后淋巴结肿块。胸部X线检查正常。手术为右侧去势术。标本的组织学检查证实为精索睾丸旁横纹肌肉瘤。患者接受化疗但无改善。通过该病例,作者强调了影像学检查以及超声和CT下睾丸旁肿瘤表现的重要性。

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