de Lima George Rafael Martins, de Oliveira Vladmir Pinheiro, Reis Paulo Henrique de Moura, Pinheiro Fábio Gurgel do Amaral, Lima Marcos Venício Alves, Gonzaga-Silva Lúcio Flávio
Federal University of Ceará, Fortaleza, Brazil.
J Pediatr Urol. 2009 Jun;5(3):243-5. doi: 10.1016/j.jpurol.2008.10.010. Epub 2008 Dec 12.
Malignant mesotheliomas of the tunica vaginalis are extremely rare tumors, especially in young patients. We report a case of a 15-year old patient presenting with clinical signs of hydrocele. Preoperative ultrasound scanning revealed two papillary lesions. Initially, before mesothelioma was suspected, the patient was submitted to focal resection of the macroscopic lesions. Following diagnosis by histopathology, the patient was submitted to radical orchiectomy and hemiscrotectomy. The patient presents no signs of local or systemic recurrence at the time of writing. A review of the literature on the subject has been included.
鞘膜恶性间皮瘤是极其罕见的肿瘤，尤其是在年轻患者中。我们报告一例15岁患者，表现为鞘膜积液的临床症状。术前超声扫描发现两个乳头状病变。最初，在怀疑为间皮瘤之前，患者接受了肉眼可见病变的局部切除术。经组织病理学诊断后，患者接受了根治性睾丸切除术和阴囊半切除术。在撰写本文时，患者没有局部或全身复发的迹象。本文还纳入了关于该主题的文献综述。
