Minagawa Tomonori, Murata Yasushi
Department of Urology, Azumino Red Cross Hospital.
Hinyokika Kiyo. 2009 Mar;55(3):161-3.
A 22-year-old man consulted our hospital with a left intrascrotal mass and a six-day history of dull pain in the left lower abdomen. Serum levels of tumor markers were normal. Testicular ultrasonography demonstrated a heterogeneous isoechoic mass in the left testis. Computed tomography revealed a left testicular mass with high density. A diagnosis of probable testicular malignancy was made, and left radical orchiectomy was performed. Intraoperative findings indicated torsion of the left testis. The testis was necrotic and the mass including the testis was extirpated. The histopathological diagnosis was testicular cavernous hemangioma. To our knowledge, only 20 cases of cavernous hemangioma of the testis have been reported to date, and this is the first report of testicular hemangioma presenting with torsion of the testis.
一名22岁男性因左侧阴囊内肿块及左下腹部隐痛6天前来我院就诊。肿瘤标志物血清水平正常。睾丸超声检查显示左侧睾丸有一不均匀等回声肿块。计算机断层扫描显示左侧睾丸肿块密度较高。诊断为可能的睾丸恶性肿瘤,遂行左侧根治性睾丸切除术。术中发现左侧睾丸扭转。睾丸已坏死,包括睾丸在内的肿块被切除。组织病理学诊断为睾丸海绵状血管瘤。据我们所知,迄今为止仅报道过20例睾丸海绵状血管瘤,而这是首例以睾丸扭转表现的睾丸血管瘤报告。