Tazi Hicham, Karmouni Tariq, Ouali Mohammed, Koutani Abdelatif, Hachimi Mohammed, Lakrissa Ahmed
Urology Department B, Ibn Sina Hospital, University Teaching Center, Rabat/Salé, Rabat, Morocco.
Int J Urol. 2006 Mar;13(3):323-4. doi: 10.1111/j.1442-2042.2006.01285.x.
This report describes a case of primary osteosarcoma of the testis in a 60-year-old man. Treatment consisted of an inguinal orchiectomy with no adjuvant therapy. The patient is alive and doing well without recurrent disease at 18 months after diagnosis. Only three reports have been published on primary osteosarcoma of the testis. The origin of this tumor from undifferentiated mesenchymal cells or from a malignant transformation of pre-existing teratomatous elements is still unclear. Management guidelines are difficult to establish due to the rarity of such tumors, but inguinal orchiectomy with careful follow up appears to be sufficient treatment.
本报告描述了一名60岁男性睾丸原发性骨肉瘤病例。治疗方法为腹股沟睾丸切除术，未进行辅助治疗。该患者在诊断后18个月时存活且状况良好，无疾病复发。关于睾丸原发性骨肉瘤仅发表了三篇报告。这种肿瘤起源于未分化间充质细胞还是源于先前存在的畸胎瘤成分的恶性转化仍不清楚。由于此类肿瘤罕见，难以制定管理指南，但腹股沟睾丸切除术并进行仔细随访似乎是充分的治疗方法。
