Ruiz Eduardo, Pozo Patricio, Toselli Luzia, Fernández María, Christiansen Silvia, Lambertini Roberto
Section on Pediatric Urology, Service of Pediatric Surgery, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Urology. 2008 Jun;71(6):1067-9. doi: 10.1016/j.urology.2007.12.030.
Paratesticular tumors are extremely rare, with paratesticular rhabdomyosarcoma being the most common finding. A 6-month-old boy presented with an asymptomatic, right intrascrotal mass whereby the testicle was surrounded by a friable lipomatous tumor. Frozen section revealed an inflammatory process, negative for malignancy. Tumorectomy with vaginal resection was performed, maintaining the testicle and excretory ducts. Histopathologic findings showed a juvenile xanthogranuloma, a non-Langerhans histiocytosis commonly described in infants in the skin and skeletal muscle. The patient is doing well 2 years after surgery and is the first such case reported in the literature with successful conservative treatment.
睾丸旁肿瘤极为罕见，其中睾丸旁横纹肌肉瘤最为常见。一名6个月大的男婴出现右侧阴囊内无症状肿块，睾丸被一个易碎的脂肪瘤样肿瘤包绕。冰冻切片显示为炎症过程，无恶性表现。进行了肿瘤切除术及鞘膜切除术，保留了睾丸和排泄管道。组织病理学检查结果显示为幼年性黄色肉芽肿，这是一种非朗格汉斯组织细胞增多症，常见于婴儿的皮肤和骨骼肌。该患者术后2年情况良好，是文献报道中首例成功接受保守治疗的此类病例。
