Shima Masaki, Takahashi Satoshi, Maeda Toshihiro, Masumori Naoya, Itoh Naoki, Tsukamoto Taiji
Department of Urology, Sapporo Medical University School of Medicine.
Hinyokika Kiyo. 2009 May;55(5):285-6.
A 30-year-old man who complained of sudden right scrotal pain visited our clinic. Physical examination revealed a palpable mass with tenderness on his right testis. An emergent operation was performed for acute scrotum. The intraoperative findings showed a small, white, elastic solid, a smooth surface tumor that originated from the tunica albuginea of the right testis. It seemed to be benign macroscopically and partial orchiectomy was performed. Soon after surgery, the pain disappeared. Pathohistological examination revealed an adenomatoid tumor of the testis which originated from the rete testis. Adenomatoid tumor of the testis is a rare benign tumor. In general, it can be diagnosed by observation of an incidental, pain-free and small palpable mass of the testis. Therefore, we should be aware that an adenomatoid tumor of the testis can be one of the differential diagnoses of acute scrotum.
一名30岁男性因突发右侧阴囊疼痛前来我院就诊。体格检查发现右侧睾丸可触及一压痛性肿块。因急性阴囊急症行急诊手术。术中发现一个小的、白色、有弹性的实性肿块，表面光滑，起源于右侧睾丸白膜。肉眼观似乎为良性，遂行睾丸部分切除术。术后疼痛很快消失。病理组织学检查显示为起源于睾丸网的睾丸腺瘤样瘤。睾丸腺瘤样瘤是一种罕见的良性肿瘤。一般来说，通过观察睾丸偶然出现的无痛性、可触及的小肿块即可诊断。因此，我们应意识到睾丸腺瘤样瘤可能是急性阴囊的鉴别诊断之一。
