Hatano Koji, Sato Mototaka, Tsujimoto Yuichi, Takada Tsuyoshi, Honda Masato, Matsumiya Kiyomi, Fujioka Hideki, Uchikoshi Fumihiro, Nakahara Masaaki, Matsuura Nariaki, Tsujimoto Masahiko
Department of Urology, Osaka Police Hospital.
Hinyokika Kiyo. 2007 Aug;53(8):597-600.
We report a case of liposarcoma of the spermatic cord associated with rectum cancer. A 78-year-old man visited our hospital with a complaint of painless left inguinal mass. He also showed constipation and bloody bowel discharge, rectum cancer was diagnosed by further evaluation. Ultrasonography, computed tomography and magnetic resonance imaging revealed a 2 x 4 x 6 cm mass in the left spermatic cord. Left high orchiectomy for the left inguinal tumor and Hartmann's procedure for rectum cancer was performed. Histologically, the mass in the left spermatic cord was well differentiated liposarcoma and rectum cancer was poorly differentiated adenocarcinoma. He died from rectum cancer with no evidence of recurrence of liposarcoma of the left spermatic cord after follow up for 6 months.
我们报告一例精索脂肪肉瘤合并直肠癌的病例。一名78岁男性因左侧腹股沟无痛性肿块前来我院就诊。他还表现出便秘和便血，经进一步评估诊断为直肠癌。超声、计算机断层扫描和磁共振成像显示左侧精索有一个2×4×6厘米的肿块。对左侧腹股沟肿瘤进行了左侧高位睾丸切除术，对直肠癌进行了哈特曼手术。组织学检查显示，左侧精索肿块为高分化脂肪肉瘤，直肠癌为低分化腺癌。随访6个月后，他死于直肠癌，左侧精索脂肪肉瘤无复发迹象。
