James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Urology. 2010 Feb;75(2):251-2. doi: 10.1016/j.urology.2009.07.1275. Epub 2009 Dec 6.
Malignant mesothelioma (MM) of the tunica vaginalis is a rare aggressive tumor with a high predilection for metastatic spread. Because there is no preoperative diagnostic modality available, it has high recurrence and mortality rates, which emphasizes the importance of early preoperative diagnosis for proper and adequate treatment. We describe a case of MM of the tunica vaginalis in a 73-year-old man who presented with hydrocele and was preoperatively diagnosed with MM using Doppler in addition to scrotal ultrasound. He underwent early radical orchiectomy through an inguinal approach, resulting in improved survival.
睾丸鞘膜恶性间皮瘤（MM）是一种罕见的侵袭性肿瘤，具有较高的转移倾向。由于术前没有诊断方法，因此复发率和死亡率很高，这强调了早期术前诊断对适当和充分治疗的重要性。我们描述了 1 例 73 岁男性患者的睾丸鞘膜 MM，该患者因阴囊积水就诊，术前除了阴囊超声外，还使用多普勒诊断为 MM。他通过腹股沟入路进行了早期根治性睾丸切除术，提高了生存率。
