Márquez Moreno Antonio Javier, Corral García Pedro, Julve Villalta Emilio, Amores Ramírez Francisco, Machuca Santa Cruz Javier, González González Cristina, Sánchez Carrillo Juan José
Servicio de Radiodiagnóstico, Hospital Clinico de Málaga, España.
Arch Esp Urol. 2004 Jun;57(5):549-51.
To report a new case of bilateral synchronic testicular tumors, and to perform a bibliographic review on the topic, emphasizing the ultrasound characteristics and oddity of these presentation, which accounts for less than 1% of germ cell testicular tumors.
METHODS/RESULTS: 29-year-old patient consulting because of an increase of the testicular size over one year. Physical examination and ultrasound revealed a synchronic neoplastic involvement of the testicles, suggesting the radiological diagnosis of bilateral "seminomatous tumor", with "non seminomatous" foci in one of them. Histologically, tumors were in accordance with ultrasound working diagnosis (seminomas, showing one of them anaplastic foci).
Synchronic testicular involvement by neoplasias is an unfrequent fact, scarcely reported in the literature, being most cases germ cell tumors, mainly seminomas, and shows a good correlation between ultrasound and histologic diagnosis.
报告一例双侧同步性睾丸肿瘤的新病例，并对该主题进行文献综述，重点关注这些表现的超声特征及罕见性，此类病例占睾丸生殖细胞肿瘤的比例不到1%。
方法/结果：一名29岁患者因睾丸大小在一年内增大前来就诊。体格检查和超声检查显示睾丸存在同步性肿瘤累及，提示双侧“精原细胞瘤”的影像学诊断，其中一侧存在“非精原细胞瘤”病灶。组织学检查显示，肿瘤与超声诊断结果相符（精原细胞瘤，其中一个显示间变病灶）。
肿瘤导致的同步性睾丸累及情况罕见，文献报道极少，大多数病例为生殖细胞肿瘤，主要是精原细胞瘤，并且超声诊断与组织学诊断具有良好的相关性。
