Pelzer Alexandre, Akkad Thomas, Herwig Ralf, Rogatsch Hermann, Pinggera Germar M, Bartsch Georg, Rehder Peter
Department of Urology, Innsbruck Medical University, Innsbruck, Austria.
Urology. 2004 Nov;64(5):1031. doi: 10.1016/j.urology.2004.06.003.
We report a case of bilateral synchronous malignant mesothelioma of the testis. A 21-year-old man presented with an acute scrotum after 3 months of recurrent pain on the right side. Ultrasonography demonstrated an irregular thickening of the tunica vaginalis testis, scrotolyths, and an increased blood flow to the right epididymis testis. Bilateral exploration revealed torsion of the hydatid and a bilateral malignant mesothelioma of the tunica vaginalis. One year later, elective bilateral exploration showed one minute area on the parietal tunica vaginalis of malignant mesothelioma. After 2 years of follow-up, the patient had no signs of distant disease.
我们报告一例双侧同步性睾丸恶性间皮瘤。一名21岁男性在右侧反复疼痛3个月后出现急性阴囊症状。超声检查显示睾丸鞘膜不规则增厚、阴囊结石以及右侧睾丸附睾血流增加。双侧探查发现附睾囊肿扭转及双侧鞘膜恶性间皮瘤。一年后，择期双侧探查显示壁层鞘膜有一小片恶性间皮瘤区域。经过2年随访，患者无远处疾病迹象。
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