García Torrelles Marta, Beltrán Armada Jose Ramón, Santolaya García Ignacio, Carrascosa Lloret Víctor, Tarín Planes Miguel, San Juan De Laorden Carlos
Servicio de Urología, Hospital Universitario Dr Peset, Valencia, España.
Arch Esp Urol. 2006 Mar;59(2):186-9. doi: 10.4321/s0004-06142006000200011.
We report one case of solitary fibrous tumor of the tunica vaginalis, a benign paratesticular lesion.
Surgical exploration with intraoperative biopsy and excision of the lesion was undertaken, leaving the testicle and epididymis undamaged.
Intraoperative biopsy revealed the presence of fibrous tissue without malignant cellularity. Pathological diagnosis on the surgical specimen was solitary fibrous tumor of the tunica vaginalis. The patient remains asymptomatic and disease-free one year after treatment.
Almost all testicular masses are malignant, but in order to avoid a non-indicated orchyectomy, one should be cautious with the finding of a paratesticular lesion of probable benign nature on ultrasound or during surgery.
我们报告一例鞘膜孤立性纤维瘤，这是一种良性睾丸旁病变。
进行手术探查，术中对病变进行活检并切除，未损伤睾丸和附睾。
术中活检显示存在无恶性细胞的纤维组织。手术标本的病理诊断为鞘膜孤立性纤维瘤。患者在治疗后一年仍无症状且无疾病复发。
几乎所有睾丸肿块都是恶性的，但为了避免不必要的睾丸切除术，对于超声检查或手术中发现的可能为良性的睾丸旁病变，应谨慎处理。
