Hommell Juliette, Ragage Florence, Pinatel Baptiste, Ruffion Alain, Decaussin-Petrucci Myriam
Service d'anatomie pathologique, centre hospitalier Lyon-Sud, 69495 Pierre-Bénite cedex, France.
Ann Pathol. 2009 Dec;29(6):488-90. doi: 10.1016/j.annpat.2009.10.022.
A testicular mass on a patient over 50 years should be considered as a metastasis, a lymphoma or a spermatocytic seminoma. Testicular metastases are rare, representing about 1 % of all testicular tumors. Prostate is the most common primary site, with less than 100 reported cases in the literature. They are most often incidentally discovered tumors, after bilateral orchiectomy for hormonal management of prostate carcinoma or at autopsy. Metastases revealed by a testicular mass are very rare. We report the original case of an 80-year-old patient with a left testicular mass indicating a metastasis of a prostate carcinoma diagnosed six years earlier. No other metastatic localization was found.
50岁以上患者出现睾丸肿物应考虑为转移瘤、淋巴瘤或精母细胞性精原细胞瘤。睾丸转移瘤罕见，约占所有睾丸肿瘤的1%。前列腺是最常见的原发部位，文献报道病例不足100例。它们大多是偶然发现的肿瘤，在行双侧睾丸切除术以进行前列腺癌的激素治疗后或在尸检时发现。由睾丸肿物发现的转移瘤非常罕见。我们报告了一例80岁患者的原发病例，其左侧睾丸肿物提示六年前诊断的前列腺癌发生了转移。未发现其他转移部位。
