Kuwabara H, Uda H, Sakamoto H, Sato A
Second Department of Pathology, Kagawa Medical School, Japan.
Acta Pathol Jpn. 1991 Nov;41(11):857-63. doi: 10.1111/j.1440-1827.1991.tb01630.x.
An autopsy case of malignant mesothelioma of the tunica vaginalis testis in a 60-year-old man is described. The tumor showed widespread metastasis via the lymphatics, leading to the patient's death five years after diagnosis. A review of 38 previously described cases is also presented. The most frequent presenting symptom was hydrocele. When a hydrocele in association with a paratesticular tumor is present, aspiration cytology should be performed first. In most of the cases with a fatal outcome, the tumors metastasized to the retroperitoneal lymph nodes. Once the diagnosis has been made, lymphangiography or CT scan should be done immediately.
本文描述了一例60岁男性睾丸鞘膜恶性间皮瘤的尸检病例。肿瘤通过淋巴管广泛转移，导致患者在诊断后五年死亡。还对38例先前报道的病例进行了回顾。最常见的症状是鞘膜积液。当存在与睾丸旁肿瘤相关的鞘膜积液时，应首先进行抽吸细胞学检查。在大多数预后不良的病例中，肿瘤转移至腹膜后淋巴结。一旦确诊，应立即进行淋巴管造影或CT扫描。
